Dr Kevin Herrle, DC | |
215 Grand Ave, Wausau, WI 54403-6218 | |
(715) 846-4333 | |
Not Available |
Full Name | Dr Kevin Herrle |
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Gender | Male |
Speciality | Chiropractor |
Location | 215 Grand Ave, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053472217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3576-012 (Wisconsin) | Primary |
Provider Name | Herrle Chiropractic Services Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356485437 PECOS PAC ID: 8325143563 Enrollment ID: O20070418000038 |
Mailing Address | Practice Location Address |
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Dr Kevin Herrle, DC 215 Grand Ave, Wausau, WI 54403-6218 Ph: (715) 846-3444 | Dr Kevin Herrle, DC 215 Grand Ave, Wausau, WI 54403-6218 Ph: (715) 846-4333 |
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