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Individual

DR. DAVE LESTER LANGHOLFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 922-9229
Mailing address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 922-9229

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1671
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350001920
RAILROAD MEDICARE
WI
05
38850300
WI
Enumeration date
02/08/2006
Last updated
12/27/2021
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