Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN R GERONDALE, D.C.
ActiveDR. BRYAN R GERONDALE, D.C. is a Sports Physician (Chiropractor) healthcare provider located in GLENDALE, Wisconsin. NPI 1598852147 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · GLENDALE, WI
Registration Details
- NPI Number
- 1598852147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.673042525314 yrs)
- Last Updated
- Apr 4, 2017
- Licenses
-
1776-012 (WI)1776-12 (WI)
Practice Information
- Address
-
5306 N PORT WASHINGTON RDGLENDALE, WI, 532174913Browse WI providers · Browse ZIP 53217
- Phone
- 4143320859
- Fax
- 4143323991
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
- Additional Specialty
- Chiropractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.