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Search › Wisconsin › 111N00000X

Amanda Diercks, D.C

NPI 1548379498 · on the registry since 2006

Practice

Address
1111 Langlade Rd
Antigo, WI 54409
Phone
(715) 623-3761
Fax
(715) 623-3764
Organisation at this address
Tolsma Llc
Rural Dental Health Project
Antigo Medical Building, Llc
Diercks Family Health Ctr., Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin