Individual
RYAN LEIBFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1800 INDUSTRIAL PARK RD, LANCASTER, WI 53813-9450
(608) 723-7723
Mailing address
1800 INDUSTRIAL PARK RD, LANCASTER, WI 53813-9450
(608) 723-7723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3939012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13665
DEAN HEALTH PLAN
WI
05
—
38945700
—
WI
Enumeration date
08/31/2006
Last updated
10/08/2021
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