Individual
DR. DAN A FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1330 VELP AVE, GREEN BAY, WI 54303
(920) 497-9499
(920) 497-5943
Mailing address
1330 VELP AVE, GREEN BAY, WI 54303
(920) 497-9499
(920) 497-5943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2090012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38799600
—
WI
Enumeration date
07/26/2006
Last updated
07/08/2007
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