Provider Demographics
NPI:1255435442
Name:RINDAL, GERALD N (DC)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:N
Last Name:RINDAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54409-1458
Mailing Address - Country:US
Mailing Address - Phone:715-623-5468
Mailing Address - Fax:715-623-5468
Practice Address - Street 1:1029 5TH AVE
Practice Address - Street 2:
Practice Address - City:ANTIGO
Practice Address - State:WI
Practice Address - Zip Code:54409-1458
Practice Address - Country:US
Practice Address - Phone:715-623-5468
Practice Address - Fax:715-623-5468
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor