Individual
DR. MIRIAM JOY LEEAN-RODENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
304 S WESTERN AVE, WAUPACA, WI 54981-5703
(715) 258-8211
(715) 258-0118
Mailing address
304 S WESTERN AVE, WAUPACA, WI 54981-5703
(715) 258-8211
(715) 258-0118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3651-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38934000
—
WI
Enumeration date
09/26/2006
Last updated
12/12/2013
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