Organization
SPINE SOLUTIONS OF GREEN BAY LLC
Active
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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