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Individual

DR. JEROME DAVIS RUNDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
319 W MAIN ST, DURAND, WI 54736
(715) 672-4699
(715) 672-4999
Mailing address
319 W MAIN ST, DURAND, WI 54736-1148
(715) 672-4699
(715) 672-4999

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5100-12
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023481942
WI
Enumeration date
11/02/2015
Last updated
07/18/2018
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