Individual
MR. CHAD ALAN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4786
(920) 430-4746
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313
(920) 430-4786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
170039
WI
Other
Enumeration date
09/21/2005
Last updated
07/07/2008
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