Orville Ammador Antonio, D.C.
Chiropractor in Sturgeon Bay, WI. Individual provider (NPI-1).
NPI number1992309348
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1992309348
- Entity type
- Individual (NPI-1)
- Name
- Orville Ammador Antonio
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Jun 20, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 5354-12 | WI | Yes |
Practice location
30 N 18th Ave Ste 5Sturgeon Bay, WI 54235-3207
Phone 920-818-1234
Mailing address
1034 Tacoma Beach RdSturgeon Bay, WI 54235-1660
Phone 920-818-1234
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All 19 Chiropractor providers in Sturgeon Bay · All 448 providers in Sturgeon Bay
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