Organization
ALIGN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT I. WOOD CO (CEO)
(650) 375-2231
Entity
Organization
Contact information
Practice address
445 CARDINAL LN STE 110, GREEN BAY, WI 54313-9587
(920) 940-5277
(844) 308-8462
Mailing address
445 CARDINAL LN STE 110, GREEN BAY, WI 54313-9587
(920) 940-5277
(844) 308-8462
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063956
—
WI
Enumeration date
02/12/2015
Last updated
03/17/2018
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