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Ideal Chiropractic
Chiropractor in Random Lake, Wisconsin
NPI 1659551547

Ideal Chiropractic is a Chiropractor based in Random Lake, WI. Ideal Chiropractic practices in Random Lake, WI. The NPI Number for Ideal Chiropractic is 1659551547 and holds a License No. 4044012 (Wisconsin).

The current practice location address for Ideal Chiropractic is 321 Carroll Street, Random Lake, WI and can be reached out via phone at 920-994-2000 and via fax at 920-994-4953.

Location: 321 Carroll Street, Random Lake, WI, 53075-1795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659551547
Provider Name
Ideal Chiropractic
Credential
Provider Entity Type
Organization
Address
321 Carroll Street, Random Lake, WI, 53075-1795
Phone Number
920-994-2000
Fax Number
920-994-4953
Provider Enumeration Date
11/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
321 Carroll Street
City
Random Lake
State
Wisconsin
Zip
53075-1795
Phone Number
920-994-2000
Fax Number
920-994-4953
person
Provider Business Mailing Address Details
Address
321 Carroll Street
City
Random Lake
State
Wisconsin
Zip
53075-1795
Phone Number
920-994-2000
Fax Number
920-994-4953
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4044012 (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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