Mr Scott Martin Vander Wielen, DC | |
1486 Kenwood Dr, Menasha, WI 54952-1133 | |
(920) 722-2100 | |
(920) 722-2100 |
Full Name | Mr Scott Martin Vander Wielen |
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Gender | Male |
Speciality | Chiropractor |
Location | 1486 Kenwood Dr, Menasha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073745832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4565-012 (Wisconsin) | Primary |
Provider Name | Vander Wielen Health & Wellness Diagnostic Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063741015 PECOS PAC ID: 5890829394 Enrollment ID: O20100819000747 |
Mailing Address | Practice Location Address |
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Mr Scott Martin Vander Wielen, DC 1486 Kenwood Dr, Menasha, WI 54952-1133 Ph: (920) 722-2100 | Mr Scott Martin Vander Wielen, DC 1486 Kenwood Dr, Menasha, WI 54952-1133 Ph: (920) 722-2100 |
Vander Wielen Health & Wellness Diagnostic Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1486 Kenwood Dr, Menasha, WI 54952 Phone: 920-722-2100 Fax: 920-722-2100 | |
Dr. Felicia Houk, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1403 Appleton Rd, Menasha, WI 54952 Phone: 920-722-5454 | |
Newcare Integrated Health Services, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1366 Appleton Rd, Suite A, Menasha, WI 54952 Phone: 920-730-0611 Fax: 920-730-3920 | |
Dr. Richard G Habighorst, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1981 Midway Rd, Suite A, Menasha, WI 54952 Phone: 920-882-7292 Fax: 920-882-8973 | |
Scherer Family Chiropractic S C Chiropractor Medicare: Medicare Enrolled Practice Location: 884 W Airport Rd, Menasha, WI 54952 Phone: 920-725-6933 | |
Genesis Family Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1730 Appleton Rd, Menasha, WI 54952 Phone: 920-886-1055 Fax: 920-886-1053 |