Advanced Family Chiropractic, S.c. | |
S63w13620 Janesville Rd, Muskego, WI 53150-2713 | |
(414) 425-9776 | |
(414) 425-9794 |
Full Name | Advanced Family Chiropractic, S.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | S63w13620 Janesville Rd, Muskego, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164454922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2492-012 (Wisconsin) | Primary |
Provider Name | Darrell L Fynaardt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700831658 PECOS PAC ID: 5991718371 Enrollment ID: I20060802000101 |
Mailing Address | Practice Location Address |
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Advanced Family Chiropractic, S.c. S63w13620 Janesville Rd, Muskego, WI 53150-2713 Ph: (414) 425-9776 | Advanced Family Chiropractic, S.c. S63w13620 Janesville Rd, Muskego, WI 53150-2713 Ph: (414) 425-9776 |
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