Organization
LEDERER CHIROPRACTIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW Z. LEDERER D.C. (PRESIDENT)
(920) 882-9662
Entity
Organization
Contact information
Practice address
650 W RIDGEVIEW DR, APPLETON, WI 54911-1254
(920) 882-9662
Mailing address
650 W RIDGEVIEW DR, APPLETON, WI 54911-1254
(920) 882-9662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4009-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39002500
—
WI
Enumeration date
04/03/2007
Last updated
08/22/2020
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