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Dr. John B. Dietrich II, DC
Chiropractor in Wisconsin Rapids, Wisconsin
NPI 1477607307

John B. Dietrich II is a Chiropractor based in Wisconsin Rapids, WI. John B. Dietrich II practices in Wisconsin Rapids, WI and has the professional credentials of DC. The NPI Number for John B. Dietrich II is 1477607307 and holds a License No. 3621-012 (Wisconsin).

The current practice location address for John B. Dietrich II is 1105 W Grand Ave, Wisconsin Rapids, WI and can be reached out via phone at 715-423-4050 and via fax at 715-424-3108.

Location: 1105 W Grand Ave, Wisconsin Rapids, WI, 54495-3349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477607307
Provider Name
John B. Dietrich II
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1105 W Grand Ave, Wisconsin Rapids, WI, 54495-3349
Phone Number
715-423-4050
Fax Number
715-424-3108
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38922000 05 WI
institution
Provider Business Practice Location Address Details
Address
1105 W Grand Ave
City
Wisconsin Rapids
State
Wisconsin
Zip
54495-3349
Phone Number
715-423-4050
Fax Number
715-424-3108
person
Provider Business Mailing Address Details
Address
1105 W Grand Ave
City
Wisconsin Rapids
State
Wisconsin
Zip
54495-3349
Phone Number
715-423-4050
Fax Number
715-424-3108
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3621-012 (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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