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Organization

GARVEY CHIROPRACTIC L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOLENE MARIE GARVEY D.C. (MANAGING MEMBER)
(920) 494-8008
Entity
Organization

Contact information

Practice address
110 PACKERLAND DR, SUITE B, GREEN BAY, WI 54303-4861
(920) 494-8008
(920) 494-1844
Mailing address
110 PACKERLAND DR, SUITE B, GREEN BAY, WI 54303-4861
(920) 494-8008
(920) 494-1844

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4305
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598983611
PERSONAL NPI
WI
01
4305-012
STATE LICENSE
WI
Enumeration date
05/18/2007
Last updated
08/22/2020
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