| Gold Medal Group, Llc | |
|
827 Cormier Rd, Green Bay, WI 54304-4706 | |
| (920) 569-2350 | |
| Not Available |
| Full Name | Gold Medal Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 827 Cormier 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 |
|---|---|---|---|
| 1114513652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Curt J Draeger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134174279 PECOS PAC ID: 2961316195 Enrollment ID: I20051028000238 |
| Provider Name | Jackson K Draeger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073012290 PECOS PAC ID: 9335495423 Enrollment ID: I20180703000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Medal Group, Llc 827 Cormier Rd, Green Bay, WI 54304-4706 Ph: (920) 569-2350 | Gold Medal Group, Llc 827 Cormier Rd, Green Bay, WI 54304-4706 Ph: (920) 569-2350 |
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