Organization
MASSART CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHEA A. MASSART D.C. (OWNER)
(920) 884-6100
Entity
Organization
Contact information
Practice address
1239 W MASON ST, GREEN BAY, WI 54303-2047
(920) 884-6100
(920) 884-6311
Mailing address
1239 W MASON ST, GREEN BAY, WI 54303-2047
(920) 884-6100
(920) 884-6311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3848-012
WI
Other
Enumeration date
04/30/2009
Last updated
12/05/2024
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