Individual provider · Type 1 NPI

Roger Oscar Gundlach, D.C

Chiropractor · Ripon, WI

NPI number 1003964248 Active

Practice location

315 Mount Zion Dr
Ripon, WI 54971-1713

Mailing address

582 Russell Dr
Ripon, WI 54971-1066

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2307-012 (WI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1003964248

Roger Oscar Gundlach, D.C's National Provider Identifier is 1003964248, issued on Jan 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ripon, WI. The record was last updated on Jul 8, 2007.