Individual
MICHAEL A FENANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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
Primary
3812012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38935700
—
WI
Enumeration date
01/25/2006
Last updated
12/07/2007
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