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Dr. Dustin David Riddle, DC,DPM,MHA
Foot & Ankle Surgery Podiatrist in Appleton, Wisconsin
NPI 1972617629

Dustin David Riddle is a Foot & Ankle Surgery Podiatrist based in Appleton, WI and is specialized in Foot & Ankle Surgery. Dustin David Riddle practices in Appleton, WI and has the professional credentials of DC,DPM,MHA. The NPI Number for Dustin David Riddle is 1972617629 and holds a License No. 3880-012 (Wisconsin).

The current practice location address for Dustin David Riddle is W2654 County Road Kk, Appleton, WI and can be reached out via phone at 920-830-2221.

Location: W2654 County Road Kk, Appleton, WI, 54915-9468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972617629
Provider Name
Dustin David Riddle
Credential
DC,DPM,MHA
Provider Entity Type
Individual
Gender
Male
Address
W2654 County Road Kk, Appleton, WI, 54915-9468
Phone Number
920-830-2221
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38961800 05 WI
institution
Provider Business Practice Location Address Details
Address
W2654 County Road Kk
City
Appleton
State
Wisconsin
Zip
54915-9468
Phone Number
920-830-2221
Fax Number
person
Provider Business Mailing Address Details
Address
W2654 County Road Kk
City
Appleton
State
Wisconsin
Zip
54915-9468
Phone Number
920-830-2221
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1127-25 (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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
3880-012 (Wisconsin)
Definition
Definition to come...
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