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400 Ogden Ave, Clinton, WI 53525-9005 | |
(608) 676-2210 | |
(608) 676-5947 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 400 Ogden Ave, Clinton, 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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1003813817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3029012 (Wisconsin) | Primary |
Provider Name | Brian D Dittmann |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144381971 PECOS PAC ID: 2961490925 Enrollment ID: I20040506000436 |
Mailing Address | Practice Location Address |
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400 Ogden Ave, Clinton, WI 53525-9005 Ph: (608) 676-2210 | 400 Ogden Ave, Clinton, WI 53525-9005 Ph: (608) 676-2210 |
Mr. Brian D Dittmann, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 Ogden Ave, Clinton, WI 53525 Phone: 608-676-2210 Fax: 608-676-5947 |