Individual
DR. ROGER OSCAR GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C,
Contact information
Practice address
315 MOUNT ZION DR, RIPON, WI 54971-1713
(920) 745-3020
Mailing address
582 RUSSELL DR, RIPON, WI 54971-1066
(920) 748-7122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2307-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38842600
—
WI
Enumeration date
01/06/2007
Last updated
07/08/2007
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