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Organization
FENANDER CHIROPRACTIC OFFICE S.C.
Active
Organization
FENANDER CHIROPRACTIC OFFICE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA J FENANDER D.C. (VICE PRESIDENT)
(715) 421-2200
Entity
Organization
Contact information
Practice address
2100 7TH ST S, WISCONSIN RAPIDS, WI 54494-6017
(715) 421-2200
(715) 421-2916
Mailing address
2100 7TH ST S, WISCONSIN RAPIDS, WI 54494-6017
(715) 421-2200
(715) 421-2916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1214-012
WI
111N00000X
Chiropractor
1685-012
WI
111N00000X
Chiropractor
Primary
2537-012
WI
111N00000X
Chiropractor
3812-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104896869
M.A.FENANDER,D.C. NPI
WI
01
—
1295705366
NATIONAL PROVIDER ID
WI
01
—
1710957881
L. J. FENANDER, D.C. NPI#
WI
01
—
1992775076
M.F.LADICK,D.C. NPI#
WI
05
—
38770600
—
WI
01
—
387728664005
L.J.FENANDER,D.C. BC#
WI
01
—
387728809001
M.A.FENANDER,D.C. BC#
WI
05
—
38809500
—
WI
01
—
388343467006
A.V.FENANDER,D.C. BC#
WI
05
—
38844700
—
WI
05
—
38935700
—
WI
01
—
394568499005
M.F.LADICK,D.C. BC#
WI
Enumeration date
12/06/2006
Last updated
08/22/2020
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