Dr Brady Robert Dorn, DC | |
888 Thackeray Trl, Suite 210, Oconomowoc, WI 53066-4342 | |
(262) 560-9600 | |
(262) 560-9599 |
Full Name | Dr Brady Robert Dorn |
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Gender | Male |
Speciality | Chiropractic |
Experience | 25 Years |
Location | 888 Thackeray Trl, Oconomowoc, 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 |
---|---|---|---|
1124170675 | NPI | - | NPPES |
38933600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3622012 (Wisconsin) | Primary |
Provider Name | Dorn Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750576542 PECOS PAC ID: 3375578628 Enrollment ID: O20051005000689 |
Mailing Address | Practice Location Address |
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Dr Brady Robert Dorn, DC 888 Thackeray Trl, Suite 210, Oconomowoc, WI 53066-4342 Ph: (262) 560-9600 | Dr Brady Robert Dorn, DC 888 Thackeray Trl, Suite 210, Oconomowoc, WI 53066-4342 Ph: (262) 560-9600 |
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