| Healthsource Chiropractic & Progressive Wellness | |
|
151 Wisconsin Dells Pkwy S, Wisconsin Dells, WI 53965 | |
| (608) 253-0102 | |
| (608) 253-0188 |
| Full Name | Healthsource Chiropractic & Progressive Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 151 Wisconsin Dells Pkwy S, Wisconsin Dells, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619087871 | NPI | - | NPPES |
| 39000300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4029-012 (Wisconsin) | Primary |
| Provider Name | Todd J Bauer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609981380 PECOS PAC ID: 2860460607 Enrollment ID: I20040922000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Chiropractic & Progressive Wellness 151 Wisconsin Dells Pkwy S, Wisconsin Dells, WI 53965 Ph: (608) 253-0102 | Healthsource Chiropractic & Progressive Wellness 151 Wisconsin Dells Pkwy S, Wisconsin Dells, WI 53965 Ph: (608) 253-0102 |
Dr. Diana Marshall Fedewa, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 719 Vine St, Wisconsin Dells, WI 53965 Phone: 608-254-4731 Fax: 608-253-9257 | |
Dr. Todd Joseph Bauer, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 151 Wisconsin Dells Pkwy S, Wisconsin Dells, WI 53965 Phone: 608-253-0102 Fax: 608-253-0102 | |
Joseph Chiropractic Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 1000 St Hwy 13, Wisconsin Dells, WI 53965 Phone: 608-254-4244 Fax: 608-253-5714 | |
Dr. Daniel Edward Joseph, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1000 St Hwy 13, Wisconsin Dells, WI 53965 Phone: 608-254-4244 Fax: 608-253-5714 | |
Dr. Duane Michael Fedewa, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 719 Vine St, Wisconsin Dells, WI 53965 Phone: 608-254-4731 Fax: 605-253-9257 |