Robert A Servais JR. DC

NPI 1619058526 - Chiropractor - 111NN0400X

NPI Details
NPI 1619058526
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1441 BELLEVUE ST
GREEN BAY WI, 54311-5605, US
Phone (920) 468-1963
Fax (920) 468-9785
Business Location
1441 BELLEVUE ST
GREEN BAY WI, 54311-5605, US
Phone (920) 468-1963
Fax (920) 468-9785
Toxanomy
Taxonomy Code 111NN0400X
License State Wisconsin
License Number 1783
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According to our database, Robert A Servais JR. DC NPI is 1619058526, taxonomy code is 111NN0400X and license number is 1783, license state is located at Wisconsin. Robert A Servais JR. DC physically located at 1441 Bellevue St, Green Bay WI, 54311-5605. NPI Number Robert A Servais JR. DC has the Individual type.

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1619058526 NPI number is provided on an as is basis without warranty of any kind. 1619058526 is maintained by the National Plan & Provider Enumeration System. The contents of Robert A Servais JR. DC are for informational purposes only.