NPI 1033488788

Grant Andrew Packard, DC

Practitioner Chiropractor Green Bay, WI

Practice location

Address: 721 Cardinal Ln, Green Bay, WI 54313-3216
Phone: (920) 434-2221
Fax: (920) 434-2483

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4827-12 (WI)

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Registry record

NPI: 1033488788
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2011
Record last updated: 27 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.