Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fond Du Lac Family Chiropractic LLC

Organization Chiropractor · NPI 1790278695

Fond Du Lac Family Chiropractic LLC is a Chiropractor in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

103 S Pioneer Rd Ste 200
Fond Du Lac, WI 54935-3800
Phone: (208) 722-9639
Fax: (920) 933-2511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4745 (WI)

Record details

NPI number1790278695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Suprenand — Owner · (920) 872-2969
NPI enumeratedJune 14, 2018
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021
Mailing address103 S Pioneer Rd Ste 200, Fond Du Lac, WI 54935-3800

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