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Dr. Gregory D Anderson, DC
Chiropractor in Lake Mills, Wisconsin
NPI 1699777680

Gregory D Anderson is a Chiropractor based in Lake Mills, WI. Gregory D Anderson practices in Lake Mills, WI and has the professional credentials of DC. The NPI Number for Gregory D Anderson is 1699777680 and holds a License No. 1410 (Wisconsin).

The current practice location address for Gregory D Anderson is 120 E Oak St, Lake Mills, WI and can be reached out via phone at 920-648-2711.

Location: 120 E Oak St, Lake Mills, WI, 53551-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699777680
Provider Name
Gregory D Anderson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
120 E Oak St, Lake Mills, WI, 53551-1243
Phone Number
920-648-2711
Fax Number
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38752200 05 WI
institution
Provider Business Practice Location Address Details
Address
120 E Oak St
City
Lake Mills
State
Wisconsin
Zip
53551-1243
Phone Number
920-648-2711
Fax Number
person
Provider Business Mailing Address Details
Address
120 E Oak St
City
Lake Mills
State
Wisconsin
Zip
53551-1243
Phone Number
920-648-2711
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1410 (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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