Dr Katie Marie Sam, DC | |
411 N Grand Ave, Waukesha, WI 53186-4961 | |
(262) 521-0028 | |
Not Available |
Full Name | Dr Katie Marie Sam |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 18 Years |
Location | 411 N Grand Ave, Waukesha, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366681108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4581-012 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kolman Fam Chiropractic Llc | 6901948587 | 2 |
Provider Name | Kolman Fam Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265763023 PECOS PAC ID: 6901948587 Enrollment ID: O20100120000204 |
Mailing Address | Practice Location Address |
---|---|
Dr Katie Marie Sam, DC 411 N Grand Ave, Waukesha, WI 53186-4961 Ph: (262) 521-0028 | Dr Katie Marie Sam, DC 411 N Grand Ave, Waukesha, WI 53186-4961 Ph: (262) 521-0028 |
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