Organization
CLINICAL CHIROPRACTIC OF WHITEWATER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL NODORFT D.C. (PRESIDENT/CHIROPRACTOR)
(262) 472-9115
Entity
Organization
Contact information
Practice address
884 S JANESVILLE ST, STE. C, WHITEWATER, WI 53190-2516
(262) 472-9115
Mailing address
884 S JANESVILLE ST, STE. C, WHITEWATER, WI 53190-2516
(262) 472-9115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WI
Other
Enumeration date
09/13/2007
Last updated
07/21/2022
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