Dr. Roger Oscar Gundlach
Chiropractor
315 Mount Zion Dr
Ripon
, Wisconsin 54971-1713
Dr. Roger Oscar Gundlach
Chiropractor
315 Mount Zion Dr
Ripon
, Wisconsin 54971-1713
(920) 748-7122
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Roger Oscar Gundlach
- 582 Russell Dr
- Ripon, WI
- Zip : 54971-1066
- Phone : (920) 748-7122
Second Address
- Dr. Roger Oscar Gundlach
- 315 Mount Zion Dr
- Ripon, WI
- Zip : 54971-1713
- Phone : (920) 745-3020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2307-012 | WI |
National Provider Identifier
| NPI | 1003964248 |
|---|---|
| Provider Name | Dr. Roger Oscar Gundlach |
| First Address | Ripon, WI 54971-1066 |
| Second Address | Ripon, WI 54971-1713 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38842600 | (05) | WI |
| T62082 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.