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Individual

PATRICK J LOVING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., D.I.C.C.P.

Contact information

Practice address
1320 S WEBSTER AVE, GREEN BAY, WI 54301-2567
(920) 432-3311
(920) 432-8010
Mailing address
1320 S WEBSTER AVE, GREEN BAY, WI 54301-2567
(920) 432-3311
(920) 432-8010

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2788-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38874800
WI
Enumeration date
12/22/2006
Last updated
07/08/2007
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