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DR. BRANDON ALLEN DYRDAHL DC NPI 1437714805


NPI Information

NPI: 1437714805
Provider Name: DR. BRANDON ALLEN DYRDAHL, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1680 MID VALLEY DR STE C
DE PERE, WI
ZIP 54115
Phone: (920) 658-5040
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DR. Brandon Allen Dyrdahl, DC is a chiropractor in De Pere, WI with 5 years of experience. The provider is 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. DR. Brandon Allen Dyrdahl, DC NPI is 1437714805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year:2019

The provider's business location address is:

1680 MID VALLEY DR STE C
DE PERE, WI
ZIP 54115-517
Phone: (920) 658-5040
Fax: (920) 658-5039

The enumeration date for this NPI number is 5/1/2019 and was last updated on 12/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor5470-12WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.