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Individual

DR. PATRICK MICHAEL FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2525 W MASON ST, GREEN BAY, WI 54303-4838
(920) 429-2844
(920) 429-2845
Mailing address
2525 W MASON ST, GREEN BAY, WI 54303-4838
(920) 429-2844
(920) 429-2845

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301007993
MI
111N00000X
Chiropractor
Primary
3623-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38940200
WI
01
392039747012
BLUE CROSS BLUE SHIELD #
WI
Enumeration date
07/11/2006
Last updated
10/07/2022
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