Individual
ORVILLE AMMADOR ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 N 18TH AVE STE 5, STURGEON BAY, WI 54235-3207
(920) 818-1234
Mailing address
1034 TACOMA BEACH RD, STURGEON BAY, WI 54235-1660
(920) 818-1234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5354-12
WI
Other
Enumeration date
11/25/2020
Last updated
06/30/2025
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