# RADANDT CHIROPRACTIC CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649225426
- **Authorized official:** DR. BARRY MICHAEL RADANDT D.C. (OWNER)
- **Authorized official phone:** (262) 650-9337

## Contact information

- **Practice address:** 1840 MEADOW LN, SUITE D, PEWAUKEE, WI 53072-5576
- **Practice address phone:** (262) 650-9337
- **Practice address fax:** (262) 650-1659
- **Mailing address:** 1840 MEADOW LN, SUITE D, PEWAUKEE, WI 53072-5576
- **Mailing address phone:** (262) 650-9337
- **Mailing address fax:** (262) 650-1659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 2388 | WI | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38951900 | — | WI |