Fond Du Lac Family Chiropractic LLC

NPI #1790278695 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1790278695
Entity Type: Organization
Organization Name: Fond Du Lac Family Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 14, 2018
Last Updated: Dec 28, 2021

Practice Location

Address: 103 S PIONEER RD STE 200
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-3800
Phone: (208) 722-9639

Authorized Official

Name: DR. SCOTT SUPRENAND, DC
Title: OWNER
Phone: (920) 872-2969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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