Atlas Spinal Care | |
2069 Central Ct, Suite 11, Green Bay, WI 54311 | |
(920) 241-6808 | |
Not Available |
Full Name | Atlas Spinal Care |
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Type | Facility |
Speciality | Chiropractor |
Location | 2069 Central Ct, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861916769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Wisconsin) | Primary |
Provider Name | Tyler Allen Malueg |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376067413 PECOS PAC ID: 9032483367 Enrollment ID: I20170925002559 |
Mailing Address | Practice Location Address |
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Atlas Spinal Care 2069 Central Ct Ste 11, Green Bay, WI 54311-4281 Ph: (920) 241-6808 | Atlas Spinal Care 2069 Central Ct, Suite 11, Green Bay, WI 54311 Ph: (920) 241-6808 |
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