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511 West Main Street, Hilbert, WI 54129-9490 | |
(920) 973-1323 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 511 West Main Street, Hilbert, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518647742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kelsey Gaedtke |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477112761 PECOS PAC ID: 1850624362 Enrollment ID: I20190614000150 |
Mailing Address | Practice Location Address |
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Po Box 412, Hilbert, WI 54129-0412 Ph: (920) 973-1323 | 511 West Main Street, Hilbert, WI 54129-9490 Ph: (920) 973-1323 |
Dr. Kelsey Gaedtke, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 511 West Main Street, Hilbert, WI 54129 Phone: 920-973-1323 |