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Individual

DR. STEPHEN DOUGLAS SCHLOSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1769 SHAWANO AVE, GREEN BAY, WI 54303
(920) 499-6264
(920) 499-6265
Mailing address
1769 SHAWANO AVE, GREEN BAY, WI 54303
(920) 499-6264
(920) 499-6265

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1506012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38758700
WI
01
391838983E09
BCBS
Enumeration date
08/07/2006
Last updated
07/08/2007
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