Provider Demographics
NPI:1124211800
Name:GELINAS, MARIE-ANDREE CLAUDETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIE-ANDREE
Middle Name:CLAUDETTE
Last Name:GELINAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CENTENNIAL CENTRE BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ONEIDA
Mailing Address - State:WI
Mailing Address - Zip Code:54155-8918
Mailing Address - Country:US
Mailing Address - Phone:920-865-7225
Mailing Address - Fax:
Practice Address - Street 1:560 CENTENNIAL CENTRE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:ONEIDA
Practice Address - State:WI
Practice Address - Zip Code:54155-8918
Practice Address - Country:US
Practice Address - Phone:920-865-7225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4320-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor