Individual provider · Type 1 NPI

John B. Dietrich Ii, DC

Chiropractor · Wisconsin Rapids, WI

NPI number 1477607307 Active

Practice location

1105 W Grand Ave
Wisconsin Rapids, WI 54495-3349

Call (715) 423-4050 Map

Fax (715) 424-3108

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3621-012 (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 1477607307

John B. Dietrich Ii, DC's National Provider Identifier is 1477607307, issued on Jan 22, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wisconsin Rapids, WI. The record was last updated on Jul 8, 2007.