| Procare Chiropractic Clinic Ltd | |
|
940 Hansen Rd, Ste F, Green Bay, WI 54304-5377 | |
| (920) 496-6000 | |
| (920) 496-0998 |
| Full Name | Procare Chiropractic Clinic Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 940 Hansen Rd, 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 |
|---|---|---|---|
| 1023229903 | NPI | - | NPPES |
| 3980300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1451 (Wisconsin) | Primary |
| Provider Name | Ray G Roddan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215011176 PECOS PAC ID: 3971496357 Enrollment ID: I20120312000817 |
| Provider Name | Steven J Fisher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538488663 PECOS PAC ID: 8426182064 Enrollment ID: I20130214000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Chiropractic Clinic Ltd 940 Hansen Rd, Ste F, Green Bay, WI 54304-5377 Ph: (920) 496-6000 | Procare Chiropractic Clinic Ltd 940 Hansen Rd, Ste F, Green Bay, WI 54304-5377 Ph: (920) 496-6000 |
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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Otto Chiropractic Clinic, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1039 W Mason St, Green Bay, WI 54303 Phone: 920-965-7757 Fax: 920-739-3999 | |
Dr. Cheryl Ann Metzler, DC DABCI Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1804 S Ashland Ave, Green Bay, WI 54304 Phone: 920-432-7774 Fax: 920-432-7784 | |
Frain Family Chiropractic Wellness Center, Ltd. Chiropractor Medicare: Medicare Enrolled Practice Location: 860 Hansen Rd, Green Bay, WI 54304 Phone: 920-499-1333 Fax: 920-499-2444 |