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Amanda Rae Diercks, DC
Chiropractor in Antigo, Wisconsin
NPI 1548379498

Amanda Rae Diercks is a Chiropractor based in Antigo, WI. Amanda Rae Diercks practices in Antigo, WI and has the professional credentials of DC. The NPI Number for Amanda Rae Diercks is 1548379498 and holds a License No. 4179-012 (Wisconsin).

The current practice location address for Amanda Rae Diercks is 1111 Langlade Rd, Antigo, WI and can be reached out via phone at 715-623-3761 and via fax at 715-623-3764.

Location: 1111 Langlade Rd, Antigo, WI, 54409-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548379498
Provider Name
Amanda Rae Diercks
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1111 Langlade Rd, Antigo, WI, 54409-2738
Phone Number
715-623-3761
Fax Number
715-623-3764
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 Langlade Rd
City
Antigo
State
Wisconsin
Zip
54409-2738
Phone Number
715-623-3761
Fax Number
715-623-3764
person
Provider Business Mailing Address Details
Address
1111 Langlade Rd
City
Antigo
State
Wisconsin
Zip
54409-2738
Phone Number
715-623-3761
Fax Number
715-623-3764
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4179-012 (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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