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Dr. Diana Marshall Fedewa, DC
Chiropractor in Wisconsin Dells, Wisconsin
NPI 1417165473

Diana Marshall Fedewa is a Chiropractor based in Wisconsin Dells, WI. Diana Marshall Fedewa practices in Wisconsin Dells, WI and has the professional credentials of DC. The NPI Number for Diana Marshall Fedewa is 1417165473 and holds a License No. 3058 (Wisconsin).

The current practice location address for Diana Marshall Fedewa is 719 Vine St, Wisconsin Dells, WI and can be reached out via phone at 608-254-4731 and via fax at 608-253-9257.

Location: 719 Vine St, Wisconsin Dells, WI, 53965-1621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417165473
Provider Name
Diana Marshall Fedewa
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
719 Vine St, Wisconsin Dells, WI, 53965-1621
Phone Number
608-254-4731
Fax Number
608-253-9257
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350037758 01 WI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
719 Vine St
City
Wisconsin Dells
State
Wisconsin
Zip
53965-1621
Phone Number
608-254-4731
Fax Number
608-253-9257
person
Provider Business Mailing Address Details
Address
719 Vine St
City
Wisconsin Dells
State
Wisconsin
Zip
53965-1621
Phone Number
608-254-4731
Fax Number
608-253-9257
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3058 (Wisconsin)
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 interrelationship with other body systems.
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