Individual
ISAIAH J GRIESBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1624 E MASON ST, GREEN BAY, WI 54302-2739
(920) 465-0400
(920) 465-1430
Mailing address
105 MAPLE DR, BONDUEL, WI 54107-9243
(715) 851-4461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5693-12
WI
Other
Enumeration date
11/22/2021
Last updated
12/30/2022
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