Coon Valley Chiropractic S.c. | |
113 Central Ave, Coon Valley, WI 54623-8039 | |
(608) 452-2525 | |
(608) 452-2526 |
Full Name | Coon Valley Chiropractic S.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 113 Central Ave, Coon Valley, 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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1275610222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3133-012 (Wisconsin) | Primary |
Provider Name | Marypat C Peterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861504896 PECOS PAC ID: 8729038872 Enrollment ID: I20050127000019 |
Provider Name | Carl R Peterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144281684 PECOS PAC ID: 2062411283 Enrollment ID: I20061215000115 |
Mailing Address | Practice Location Address |
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Coon Valley Chiropractic S.c. 113 Central Ave, Coon Valley, WI 54623-8039 Ph: (608) 452-2525 | Coon Valley Chiropractic S.c. 113 Central Ave, Coon Valley, WI 54623-8039 Ph: (608) 452-2525 |
Carl R Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 | |
Dr. Mark Westphal, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 Central Ave, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 | |
Marypat C Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 Central Ave, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 |