| Ponick Chiropractic | |
|
9520 County Highway H, Stanley, WI 54768-6033 | |
| (715) 644-5428 | |
| (715) 644-5486 |
| Full Name | Ponick Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 9520 County Highway H, Stanley, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730463050 | NPI | - | NPPES |
| 38861300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 2802-12 (Wisconsin) | Primary |
| Provider Name | Todd R Ponick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417964826 PECOS PAC ID: 7517122609 Enrollment ID: I20120621000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Ponick Chiropractic 9520 County Highway H, Stanley, WI 54768-6033 Ph: (715) 644-5428 | Ponick Chiropractic 9520 County Highway H, Stanley, WI 54768-6033 Ph: (715) 644-5428 |
Dr. Dalton Russell Lewallen, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 9520 County Highway H, Stanley, WI 54768 Phone: 715-644-5428 | |
Dr. Gregory Robert Haas, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 | |
Dr. Jennifer Ann Haas, D.C., MSHS Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 Fax: 715-644-3422 | |
Dr. Todd Ponick, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9520 County Highway H, Stanley, WI 54768 Phone: 715-644-5428 Fax: 715-644-5486 | |
Harris Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 123 N Broadway St, Stanley, WI 54768 Phone: 715-644-5677 Fax: 715-644-3422 |