Individual provider · Type 1 NPI
Marc David Ditty, DC
Chiropractor · Green Bay, WI
NPI number
1912939711
Active
Practice location
2170 Velp Ave, Suite 105
Green Bay, WI 54303-6596
Fax (920) 434-2615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4204 (WI) |
Chiropractor: 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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About NPI 1912939711
Marc David Ditty, DC's National Provider Identifier is 1912939711, issued on Jul 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 18, 2010.