Derek R Bown, DC | |
1650 S 41st St, Manitowoc, WI 54220-7316 | |
(920) 320-4700 | |
(920) 684-2094 |
Full Name | Derek R Bown |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 33 Years |
Location | 1650 S 41st St, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407940471 | NPI | - | NPPES |
39572209 | Other | WI | WPS |
38858900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2710 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Manitowoc Medical Group, Llc | 2365836954 | 118 |
Provider Name | Froedtert Manitowoc Medical Group, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
---|---|
Derek R Bown, DC Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2591 | Derek R Bown, DC 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-4700 |
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