Individual
MITCHELL DALE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2525 W MASON ST, GREEN BAY, WI 54303-4838
(920) 429-2844
Mailing address
2525 W MASON ST, GREEN BAY, WI 54303-4838
(920) 429-2844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5288-12
WI
Other
Enumeration date
05/26/2017
Last updated
12/30/2020
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