Organization
SPINE SOLUTIONS OF GREEN BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SCARLETT MD (OWNER)
(414) 455-1153
Entity
Organization
Contact information
Practice address
2595 DEVELOPMENT DR STE 150, BELLEVUE, WI 54311-4288
(414) 455-1153
(833) 523-9918
Mailing address
2124 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3169
(414) 455-1153
(833) 523-9918
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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