Provider Demographics
NPI:1780797233
Name:FISCHER, RONALD D (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:D
Last Name:FISCHER
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 1:110 SCHRAMM RD
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-9210
Mailing Address - Country:US
Mailing Address - Phone:920-915-0526
Mailing Address - Fax:
Practice Address - Street 1:110 SCHRAMM RD
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-9210
Practice Address - Country:US
Practice Address - Phone:920-915-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2436111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI610811100OtherFED WORK COMP
WIT83400Medicare UPIN