Healthcare Provider Details

I. General information

NPI: 1124211800
Provider Name (Legal Business Name): MARIE-ANDREE CLAUDETTE GELINAS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 CENTENNIAL CENTRE BLVD SUITE 150
ONEIDA WI
54155-8918
US

IV. Provider business mailing address

560 CENTENNIAL CENTRE BLVD SUITE 150
ONEIDA WI
54155-8918
US

V. Phone/Fax

Practice location:
  • Phone: 920-865-7225
  • Fax:
Mailing address:
  • Phone: 920-865-7225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4320-012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: