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Individual

DR. JOHN MARTIN HOSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
721 CARDINAL LN STE 100, GREEN BAY, WI 54313-3216
(920) 434-2221
(920) 434-2483
Mailing address
721 CARDINAL LN STE 100, GREEN BAY, WI 54313-3216
(920) 434-2221
(920) 434-2483

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038010367
IL
111NS0005X
Sports Physician Chiropractor
Primary
5347-12
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038020367
IL
Enumeration date
02/06/2006
Last updated
06/04/2024
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