Individual
DR. TUCKER ANTHONY EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
445 CARDINAL LN STE 106, GREEN BAY, WI 54313-9577
(920) 246-8470
Mailing address
2443 MOCKINGBIRD LN, GREEN BAY, WI 54303-6275
(920) 246-8470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4342-012
WI
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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