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Gregory J Nystrom, DC
Chiropractor in Green Bay, Wisconsin
NPI 1871572321

Gregory J Nystrom is a Chiropractor based in Green Bay, WI. Gregory J Nystrom practices in Green Bay, WI and has the professional credentials of DC. The NPI Number for Gregory J Nystrom is 1871572321 and holds a License No. 3062 (Wisconsin).

The current practice location address for Gregory J Nystrom is 1441 Bellevue St, Green Bay, WI and can be reached out via phone at 920-465-7772 and via fax at 920-468-9785.

Location: 1441 Bellevue St, Green Bay, WI, 54311-5605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871572321
Provider Name
Gregory J Nystrom
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1441 Bellevue St, Green Bay, WI, 54311-5605
Phone Number
920-465-7772
Fax Number
920-468-9785
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3889700 05 WI
institution
Provider Business Practice Location Address Details
Address
1441 Bellevue St
City
Green Bay
State
Wisconsin
Zip
54311-5605
Phone Number
920-465-7772
Fax Number
920-468-9785
person
Provider Business Mailing Address Details
Address
1441 Bellevue St
City
Green Bay
State
Wisconsin
Zip
54311-5605
Phone Number
920-465-7772
Fax Number
920-468-9785
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3062 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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