Organization

East Side Chiropractic And Laser Therapy Center Llc

Chiropractor in Green Bay, WI(View on Map)

Legal Business Name

East Side Chiropractic And Laser Therapy Center Llc

NPI Number

1508506353

NPI Type

Organization

Enumeration Date

03/30/2022

Specialties

(Taxonomies)

Code

111N00000X
261Q00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

1624 E MASON ST
1624 E MASON ST

City

Green Bay
Green Bay

State

WI
WI

Postal Code

54302-2739
54302-2739

Country

US
US

Telephone Number

(920) 465-0400
(920) 465-0400

Authorized Official

Name

Isaiah Griesbach

Title or Position

OWNER

Telephone Number

(715) 851-4461

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/30/2022

Provider Address

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