Most Relevant Information
Provider Data
| NPI Number: | 1003557232 |
| Provider Name: | TANNER ARDELL KLEPPE DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 5745-12 |
Most Important Dates
| Enumeration Date: | 04/03/2022 |
| Last Updated: | 04/03/2022 |
Provider Practice Location
1207 W KNAPP ST
RICE LAKE
WI
548681307
Practice Location Phone/Fax
| Phone: | 7154751700 |
| Fax: |
Provider Mailing Location
1207 W KNAPP ST
RICE LAKE
WI
548681307
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |