Individual
MARISSA MOLONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
645 W RIDGEVIEW DR, APPLETON, WI 54911-1254
(920) 997-9740
Mailing address
645 W RIDGEVIEW DR, APPLETON, WI 54911-1254
(920) 970-9740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5711-12
WI
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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