Organization
SPINE SOLUTIONS OF GREEN BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ASHTON SCARLETT (MD)
(608) 710-8162
Entity
Organization
Contact information
Practice address
2595 DEVELOPMENT DR STE 150, GREEN BAY, WI 54311-4288
(920) 204-6758
Mailing address
DEPT CH 18031, PALATINE, IL 60055-8031
(920) 204-6758
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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