Grant Andrew Packard, DC | |
721 Cardinal Ln, Green Bay, WI 54313-3216 | |
(920) 434-2221 | |
(920) 434-2483 |
Full Name | Grant Andrew Packard |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 13 Years |
Location | 721 Cardinal Ln, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033488788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4827-12 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forest County Potawatomi Community | 3375454689 | 15 |
Provider Name | Forest County Potawatomi Community |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204 |
Mailing Address | Practice Location Address |
---|---|
Grant Andrew Packard, DC 721 Cardinal Ln, Green Bay, WI 54313-3216 Ph: (920) 434-2221 | Grant Andrew Packard, DC 721 Cardinal Ln, Green Bay, WI 54313-3216 Ph: (920) 434-2221 |
Dr. Brookh Susan Lyonns, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Suite 100, Green Bay, WI 54301 Phone: 920-347-4884 Fax: 920-347-4878 | |
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