Dr Madison Nichole Reiber, DC | |
3151 Fish Hatchery Rd., Fitchburg, WI 53713 | |
(620) 794-7234 | |
Not Available |
Full Name | Dr Madison Nichole Reiber |
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Gender | Female |
Speciality | Chiropractor |
Location | 3151 Fish Hatchery Rd., Fitchburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346719796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5387-12 (Wisconsin) | Secondary |
111N00000X | Chiropractor | 5387 (Wisconsin) | Primary |
Provider Name | Revive Chiropractic Care, Llc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073243457 PECOS PAC ID: 7517348352 Enrollment ID: O20220725003211 |
Mailing Address | Practice Location Address |
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Dr Madison Nichole Reiber, DC 3151 Fish Hatchery Rd., Fitchburg, WI 53713 Ph: (620) 794-7234 | Dr Madison Nichole Reiber, DC 3151 Fish Hatchery Rd., Fitchburg, WI 53713 Ph: (620) 794-7234 |
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