Individual
DR. MATTHEW Z LEDERER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
650 W RIDGEVIEW DR, APPLETON, WI 54911-1254
(920) 882-9662
(920) 882-9912
Mailing address
650 W RIDGEVIEW DR, APPLETON, WI 54911-1254
(920) 882-9662
(920) 882-9912
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4009-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38962400
—
WI
05
—
39002500
—
WI
01
—
5594680
FIRST HEALTH
WI
01
—
753159145012
BLUE CROSS BLUE SHIELD GR
WI
Enumeration date
06/07/2006
Last updated
07/08/2007
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