Individual
JASON GRAETZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 N PARK AVE, COLEMAN, WI 54112-9438
(920) 897-4566
Mailing address
205 N PARK AVE, COLEMAN, WI 54112-9438
(920) 897-4566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3681012
WI
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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