Angellia Yang, DC | |
6645 N 113th St, Milwaukee, WI 53224-5040 | |
(414) 534-1903 | |
Not Available |
Full Name | Angellia Yang |
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Gender | Female |
Speciality | Chiropractor |
Location | 6645 N 113th St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801515481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 57-58-12 (Wisconsin) | Primary |
Provider Name | Chiro One Wellness Center Of Hales Corners, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881127900 PECOS PAC ID: 7719245984 Enrollment ID: O20171215001030 |
Mailing Address | Practice Location Address |
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Angellia Yang, DC 6645 N 113th St, Milwaukee, WI 53224-5040 Ph: (414) 534-1903 | Angellia Yang, DC 6645 N 113th St, Milwaukee, WI 53224-5040 Ph: (414) 534-1903 |
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