| Active Lifestyle Chiropractic,sc | |
|
140 N. Townline Rd., Wautoma, WI 54982-0246 | |
| (920) 787-0122 | |
| (920) 787-0091 |
| Full Name | Active Lifestyle Chiropractic,sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 140 N. Townline Rd., Wautoma, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194801191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3391 (Wisconsin) | Primary |
| Provider Name | David M Gruszka |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790871200 PECOS PAC ID: 4981636446 Enrollment ID: I20050906000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Lifestyle Chiropractic,sc Po Box 246, Wautoma, WI 54982-0246 Ph: (920) 787-0122 | Active Lifestyle Chiropractic,sc 140 N. Townline Rd., Wautoma, WI 54982-0246 Ph: (920) 787-0122 |
Chiropractic Health And Wellness Center Of Wautoma, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 200 N Oakridge Ct, Wautoma, WI 54982 Phone: 920-787-4715 Fax: 920-787-1083 | |
Chiroplus Complementary Healthcare Centers, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: W7841 State Rd 21 &73, Wautoma, WI 54982 Phone: 920-787-0081 Fax: 920-787-0083 | |
Nathan L Barkalow, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 N Oakridge Ct, Wautoma, WI 54982 Phone: 920-787-4715 | |
Dr. Terrence R Barkalow, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 N Oakridge Ct, Wautoma, WI 54982 Phone: 920-787-4715 Fax: 920-787-1083 | |
Mark James Vandecastle, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 140 N. Townline Rd, Wautoma, WI 54982 Phone: 920-787-0122 Fax: 920-787-0091 | |
Dr. David Michael Gruszka, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 140 N Townline Rd, Wautoma, WI 54982 Phone: 920-787-0122 |