Melissa Walenton, DC | |
228 N 3rd Ave, Wausau, WI 54401-4410 | |
(715) 845-6722 | |
Not Available |
Full Name | Melissa Walenton |
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Gender | Female |
Speciality | Chiropractor |
Location | 228 N 3rd 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 |
---|---|---|---|
1821862103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6137-12 (Wisconsin) | Primary |
Provider Name | Poland Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376913582 PECOS PAC ID: 9537479043 Enrollment ID: O20151113000700 |
Mailing Address | Practice Location Address |
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Melissa Walenton, DC 228 N 3rd Ave, Wausau, WI 54401-4410 Ph: (715) 845-6722 | Melissa Walenton, DC 228 N 3rd Ave, Wausau, WI 54401-4410 Ph: (715) 845-6722 |
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