Mr Robert R Broeckert, MS CCC-A | |
4650 W Spencer St, Suite 31, Appleton, WI 54914-9106 | |
(920) 738-1819 | |
Not Available |
Full Name | Mr Robert R Broeckert |
---|---|
Gender | Male |
Speciality | Qualified Audiologist |
Experience | 35 Years |
Location | 4650 W Spencer St, Appleton, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750308649 | NPI | - | NPPES |
41128800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 190-156 (Wisconsin) | Primary |
Provider Name | Hearing Clinics Of Wisconsin Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164449831 PECOS PAC ID: 9133204217 Enrollment ID: O20080313000337 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert R Broeckert, MS CCC-A 1501 S Clara St, Appleton, WI 54915-4061 Ph: (920) 213-0767 | Mr Robert R Broeckert, MS CCC-A 4650 W Spencer St, Suite 31, Appleton, WI 54914-9106 Ph: (920) 738-1819 |
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