| |
111 S. First Street, Colby, WI 54421-0026 | |
(715) 223-1511 | |
(715) 223-1411 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 111 S. First Street, Colby, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205203197 | NPI | - | NPPES |
38904300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3466-12 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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P.o. 26, 111 S. First Street, Colby, WI 54421-0026 Ph: (715) 223-1511 | 111 S. First Street, Colby, WI 54421-0026 Ph: (715) 223-1511 |
Dr. Philip John Carlson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 205 W Spence Street, Colby, WI 54421 Phone: 715-223-1511 Fax: 715-223-1411 |