Individual
MICHELLE MARIE GREENHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4058
MN
2251X0800X
Orthopedic Physical Therapist
Primary
1553124
WI
Other
Enumeration date
06/09/2015
Last updated
07/15/2021
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