Dr Dalton Russell Lewallen, DC | |
9520 County Highway H, Stanley, WI 54768-6033 | |
(715) 644-5428 | |
Not Available |
Full Name | Dr Dalton Russell Lewallen |
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Gender | Male |
Speciality | Chiropractor |
Location | 9520 County Highway H, Stanley, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023720182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 6041-12 (Wisconsin) | Primary |
Provider Name | Chiro One Wellness Center Of Eau Claire Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225656119 PECOS PAC ID: 7214354927 Enrollment ID: O20200826002444 |
Provider Name | Chiro One Wellness Center Of Stevens Point Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083359814 PECOS PAC ID: 6002296183 Enrollment ID: O20220707000452 |
Mailing Address | Practice Location Address |
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Dr Dalton Russell Lewallen, DC W8894 Broken Arrow Rd, Conrath, WI 54731-9783 Ph: (715) 206-0073 | Dr Dalton Russell Lewallen, DC 9520 County Highway H, Stanley, WI 54768-6033 Ph: (715) 644-5428 |
Dr. Gregory Robert Haas, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 | |
Dr. Jennifer Ann Haas, D.C., MSHS Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 Fax: 715-644-3422 | |
Dr. Todd Ponick, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9520 County Highway H, Stanley, WI 54768 Phone: 715-644-5428 Fax: 715-644-5486 | |
Harris Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 Fax: 715-644-3422 | |
Ponick Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 9520 County Highway H, Stanley, WI 54768 Phone: 715-644-5428 Fax: 715-644-5486 |