Ideal Chiropractic of Fond Du Lac LLC

NPI #1639351026 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1639351026
Entity Type: Organization
Organization Name: Ideal Chiropractic of Fond Du Lac LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 28, 2007
Last Updated: Nov 28, 2007

Practice Location

Address: 976 E JOHNSON ST STE 900
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-9747
Phone: (920) 907-1700

Authorized Official

Name: DR. JESSICA LYNN RODRIGUEZ, DC
Title: DOCTOR OF CHIROPRACTIC
Phone: (920) 907-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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