Roger Oscar Gundlach in Ripon - Chiropractor
Roger Oscar Gundlach - NPI 1003964248
Roger Oscar Gundlach is a Chiropractor in Ripon, Wisconsin. Roger Oscar Gundlach practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Roger Oscar Gundlach is 1003964248. The last update date is 2007-07-08.
Roger Oscar Gundlach's current location address is 582 Russell Dr, Ripon, Wisconsin. You can contact this provider via phone number 9207487122. The mailing address for Roger Oscar Gundlach is 582 Russell Dr, Ripon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Oscar Gundlach |
|---|---|
| Address | 582 Russell Dr, Ripon, Wisconsin |
| Phone Number | 9207487122 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C, |
NPI Number Detail
| NPI Number | 1003964248 |
|---|---|
| Provider Enumeration Date | 2007-01-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 582 Russell Dr |
|---|---|
| City | Ripon |
| State | Wisconsin (WI) |
| Post Code | 549711066 |
| Phone Number | 9207487122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2307-012 |
|
Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38842600 | WI | -- |
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What is the unique 10-digit identifier code assigned to Roger Oscar Gundlach by the Centers for Medicare & Medicaid Services?
The Roger Oscar Gundlach has been issued the NPI (National Provider Identifier) 1003964248 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Roger Oscar Gundlach is located?
The Roger Oscar Gundlach is situated at the following address: 582 Russell Dr, Ripon, WI, 549711066.
What is the Roger Oscar Gundlach's area of specialization and corresponding taxonomy classification?
The Roger Oscar Gundlach's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Roger Oscar Gundlach receive the assignment of its 1003964248 from the Centers for Medicare & Medicaid Services?
The Roger Oscar Gundlach was issued its 1003964248 by the Centers for Medicare & Medicaid Services on 2007-01-06.
As of what date were the Roger Oscar Gundlach's details last updated?
The information pertaining to the Roger Oscar Gundlach, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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