Diercks Family Health Ctr., LLC

NPI #1568653665 in Antigo, Wisconsin

Provider Information

NPI Number
1568653665
Entity Type
Organization
Organization Name
Diercks Family Health Ctr., LLC
Primary Specialty
Chiropractor
Enumeration Date
Aug 5, 2007
Last Updated
Aug 5, 2007

Practice Location

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

Authorized Official

Name
AMANDA R DIERCKS, D.C.
Title
OWNER/MEMBER
Phone
(715) 623-7812

Specialties & Taxonomy Codes

Specialty
Chiropractor

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