Organization
ABUNDANT LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA RAE SHEFCHIK D.C. (OWNER)
(920) 265-9976
Entity
Organization
Contact information
Practice address
1203 S MILITARY AVE, GREEN BAY, WI 54304-2120
(920) 499-4575
Mailing address
1203 S MILITARY AVE, GREEN BAY, WI 54304-2120
(920) 265-9976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4298-012
WI
Other
Enumeration date
03/20/2007
Last updated
10/15/2013
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