| Eagle River Chiropractic Sc | |
|
761 Us Highway 45 S, Eagle River, WI 54521-9110 | |
| (715) 479-8700 | |
| (715) 479-8799 |
| Full Name | Eagle River Chiropractic Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 761 Us Highway 45 S, Eagle River, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689941601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4753012 (Wisconsin) | Primary |
| Provider Name | Michelle Marie Madderom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285915397 PECOS PAC ID: 8729252820 Enrollment ID: I20111130000453 |
| Provider Name | Brooke Olivia Stefonik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497525109 PECOS PAC ID: 7618314287 Enrollment ID: I20240319003006 |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle River Chiropractic Sc 761 Us Highway 45 S, Eagle River, WI 54521-9110 Ph: (715) 479-8700 | Eagle River Chiropractic Sc 761 Us Highway 45 S, Eagle River, WI 54521-9110 Ph: (715) 479-8700 |
Robert Desutter, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 701c N Railroad St, Eagle River, WI 54521 Phone: 715-479-4214 Fax: 715-479-4214 | |
Mr. David Dewaine Draeger, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5105 Hwy 70 W., Eagle River, WI 54521 Phone: 715-479-5995 Fax: 715-479-1617 | |
Eagle Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 701 N Railroad St, Eagle River, WI 54521 Phone: 715-479-4214 Fax: 715-477-2770 | |
Michelle M Madderom, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 761 Us Highway 45 S, Eagle River, WI 54521 Phone: 715-479-8700 | |
Charles Dennis Wolter, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4340 Otter Lake Road, Eagle River, WI 54521 Phone: 715-479-9798 Fax: 715-477-0016 | |
Brooke Stefonik, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 761 Us Highway 45 S, Eagle River, WI 54521 Phone: 715-479-8700 | |
Dr. Kate Allison Herzog, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5105 State Highway 70 W, Eagle River, WI 54521 Phone: 715-479-5995 Fax: 715-479-1617 |