Dr Daniel Robert Sladky, DC | |
3757 S Howell Ave, Milwaukee, WI 53207-3870 | |
(262) 637-1822 | |
Not Available |
Full Name | Dr Daniel Robert Sladky |
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Gender | Male |
Speciality | Chiropractor |
Location | 3757 S Howell Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104580646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5695-12 (Wisconsin) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Provider Name | Lakeview Chiropractic And Wellness Clinic, S.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912237132 PECOS PAC ID: 3678602562 Enrollment ID: O20100602000948 |
Mailing Address | Practice Location Address |
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Dr Daniel Robert Sladky, DC 3757 S Howell Ave, Milwaukee, WI 53207-3870 Ph: (262) 637-1822 | Dr Daniel Robert Sladky, DC 3757 S Howell Ave, Milwaukee, WI 53207-3870 Ph: (262) 637-1822 |
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