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Dr. Randall W. Nodorft, DC
Chiropractor in Whitewater, Wisconsin
NPI 1760564926

Randall W. Nodorft is a Chiropractor based in Beloit, WI. Randall W. Nodorft practices in Whitewater, WI and has the professional credentials of DC. The NPI Number for Randall W. Nodorft is 1760564926 and holds a License No. 4057 (Wisconsin).

The current practice location address for Randall W. Nodorft is 884 S Janesville St, Whitewater, WI and can be reached out via phone at 262-472-9115.

Location: 884 S Janesville St, Whitewater, WI, 53511-9770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760564926
Provider Name
Randall W. Nodorft
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
884 S Janesville St, Whitewater, WI, 53511-9770
Phone Number
262-472-9115
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
743131825015 01 WI BCBS
institution
Provider Business Practice Location Address Details
Address
884 S Janesville St
City
Whitewater
State
Wisconsin
Zip
53190-2508
Phone Number
262-472-9115
Fax Number
person
Provider Business Mailing Address Details
Address
884 S Janesville St
City
Whitewater
State
Wisconsin
Zip
53190-2508
Phone Number
262-472-9115
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4057 (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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