| Ascent Sports & Wellness Chiropractic Clinic | |
|
16620 W Bluemound Rd # 405, Brookfield, WI 53005-5966 | |
| (262) 345-4166 | |
| (262) 753-6908 |
| Full Name | Ascent Sports & Wellness Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 16620 W Bluemound Rd # 405, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699282632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4707-12 (Wisconsin) | Primary |
| Provider Name | Grant K Radermacher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790204832 PECOS PAC ID: 8426317397 Enrollment ID: I20180123000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Ascent Sports & Wellness Chiropractic Clinic 16620 W Bluemound Rd # 405, Brookfield, WI 53005-5966 Ph: (262) 345-4166 | Ascent Sports & Wellness Chiropractic Clinic 16620 W Bluemound Rd # 405, Brookfield, WI 53005-5966 Ph: (262) 345-4166 |
Dr. Gregory Michael Blau, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 14625 W Lisbon Rd, Brookfield, WI 53005 Phone: 262-783-5010 Fax: 262-783-9992 | |
Mr. Paul Edward Ralston, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13730 W Greenfield Ave, Brookfield, WI 53005 Phone: 262-244-7600 | |
Nicholas Agen, Chiropractor Medicare: Medicare Enrolled Practice Location: 17585 Golf Pkwy, Brookfield, WI 53045 Phone: 262-899-7158 | |
Ahead To Health, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15400 W Capitol Dr, Suite 202, Brookfield, WI 53005 Phone: 262-754-1211 Fax: 262-754-2911 | |
Dr. Renee M. Jacquette, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 17040 W Greenfield Ave Ste 3, Brookfield, WI 53005 Phone: 414-930-2363 | |
Dr. Andrea Marie Lange, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005 Phone: 262-754-4910 Fax: 262-754-4913 | |
Christiansen Chiropractic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 15010 W Greenfield Ave., Suite 100, Brookfield, WI 53005 Phone: 262-754-5500 Fax: 262-754-5501 |