Dr Charles R Duda, DC | |
3110 Gilbert St, Marinette, WI 54143-1934 | |
(715) 732-4018 | |
(715) 735-6864 |
Full Name | Dr Charles R Duda |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 3110 Gilbert St, Marinette, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255381588 | NPI | - | NPPES |
200808401011 | Other | WI | BCBS GROUP # |
38999700 | Medicaid | WI | |
4724161 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3119-012 (Wisconsin) | Primary |
Provider Name | Duda Chiropractic Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790835700 PECOS PAC ID: 3779573613 Enrollment ID: O20040513001015 |
Provider Name | Spinecare |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659905958 PECOS PAC ID: 4981011962 Enrollment ID: O20210319000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles R Duda, DC 3110 Gilbert St, Marinette, WI 54143-1934 Ph: (715) 732-4018 | Dr Charles R Duda, DC 3110 Gilbert St, Marinette, WI 54143-1934 Ph: (715) 732-4018 |
Dr. Nicolas Herrild, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3110 Gilbert St Ste A, Marinette, WI 54143 Phone: 715-732-4018 Fax: 715-735-6864 | |
Spinecare Chiropractor Medicare: Medicare Enrolled Practice Location: 3110 Gilbert St Ste B, Marinette, WI 54143 Phone: 715-923-0597 | |
Geoffrey Holloway, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1435 Cleveland Ave, Marinette, WI 54143 Phone: 888-834-4551 Fax: 715-598-4881 | |
Stalheim Chiropractic Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 604 County Road T, Marinette, WI 54143 Phone: 715-735-9824 | |
Duda Chiropractic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3110 Gilbert St, Marinette, WI 54143 Phone: 715-732-4018 Fax: 715-735-6864 | |
Dr. David Stalheim, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 604 County Road T, Marinette, WI 54143 Phone: 715-735-9824 |