Modern Physical Medicine | |
114 E Greenfield Ave, Milwaukee, WI 53204-2966 | |
(414) 220-0106 | |
Not Available |
Full Name | Modern Physical Medicine |
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Type | Facility |
Speciality | Chiropractor |
Location | 114 E Greenfield Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487316634 | NPI | - | NPPES |
5382-12 | Other | WI | PROVIDER LICENSE # |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Maggie May Kasten |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144577875 PECOS PAC ID: 7315195203 Enrollment ID: I20220207001688 |
Mailing Address | Practice Location Address |
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Modern Physical Medicine 430 E Estates Pl, Oak Creek, WI 53154-5122 Ph: () - | Modern Physical Medicine 114 E Greenfield Ave, Milwaukee, WI 53204-2966 Ph: (414) 220-0106 |
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