Brandon Allen Dyrdahl (NPI# 1437714805, PAC ID# 7315279809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1437714805 |
| PAC ID by PECOS | 7315279809 |
| Professional Enrollment ID | I20191104000008 |
| Full Name | Brandon Allen Dyrdahl |
| Organization Legal Name | CORNERSTONE CHIROPRACTIC AND WELLNESS LLC |
| Address |
2006 Progress Blvd Antigo WI 54409-2475 |
| Phone Number | 7156235481 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2019 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 5496996613 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2006 Progress Blvd, Antigo, WI 54409-2475 | 7156235481 | CORNERSTONE CHIROPRACTIC AND WELLNESS LLC |
| Organization Legal Name | CORNERSTONE CHIROPRACTIC AND WELLNESS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Raymond Wachtel | Chiropractic | Cornerstone Chiropractic and Wellness LLC | 2006 Progress Blvd, Antigo, WI 54409-2475 |
| Amy L Stuber | Chiropractic | Cornerstone Chiropractic and Wellness LLC | 2006 Progress Blvd, Antigo, WI 54409-2475 |
| Street Address |
2006 PROGRESS BLVD |
| City | ANTIGO |
| State | WI |
| Zip | 54409-2475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Raymond Wachtel | Chiropractic | Cornerstone Chiropractic and Wellness LLC | 2006 Progress Blvd, Antigo, WI 54409-2475 |
| Amy L Stuber | Chiropractic | Cornerstone Chiropractic and Wellness LLC | 2006 Progress Blvd, Antigo, WI 54409-2475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald N Rindal | Chiropractic | 1029 5th Ave, Antigo, WI 54409-1458 | |
| Mark A Aldrich | Podiatry | 737 Dorr St, Antigo, WI 54409-1472 | |
| Andrew C Krueger | Chiropractic | 436 Superior St, Antigo, WI 54409-1855 | |
| Roxanne E Doyle Keszo | Optometry | Thomas G Peterson Od Sc | 810 5th Ave, Antigo, WI 54409-1937 |
| Curt C Johnson | Chiropractic | 510 Superior St, Antigo, WI 54409-2043 | |
| Margaret A Rosauer Johnson | Chiropractic | 510 Superior St, Antigo, WI 54409-2043 | |
| Richard A Kjome | Optometry | 714 3rd Ave, Antigo, WI 54409-2044 | |
| Stacy M Bula | Chiropractic | 537 Field St, Antigo, WI 54409-2229 | |
| Earl J Roth | Chiropractic | 612 Century Ave, Antigo, WI 54409-2447 | |
| Bruce C Goldsworthy | Chiropractic | 941 Century Ave, Antigo, WI 54409-2484 | |
| Find all physicians in zip 54409 | |||
| City | ANTIGO |
| Zip Code | 54409 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ANTIGO + CHIROPRACTIC |
Please comment or provide details below to improve the information on Brandon Allen Dyrdahl.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.