| Radiant Life, Llc | |
|
2475 Lineville Rd Ste B, Green Bay, WI 54313-7153 | |
| (920) 455-0020 | |
| Not Available |
| Full Name | Radiant Life, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2475 Lineville Rd Ste B, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982473195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Life, Llc 2475 Lineville Rd Ste B, Green Bay, WI 54313-7153 Ph: () - | Radiant Life, Llc 2475 Lineville Rd Ste B, Green Bay, WI 54313-7153 Ph: (920) 455-0020 |
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Margaret O'toole, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869 | |
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