Amanda Rae Diercks, D.C.

NPI #1548379498 in Antigo, Wisconsin

Provider Information

NPI Number
1548379498
Entity Type
Individual
Name
Amanda Rae Diercks, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Aug 30, 2006
Last Updated
Jul 31, 2007

Practice Location

Address
1111 LANGLADE RD
City
Antigo
ZIP Code
54409-2738
Phone
(715) 623-3761

Specialties & Taxonomy Codes

Specialty
Chiropractor

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