| Robert Devine, DC | |
|
613 N 5th St Ste 103, Wausau, WI 54403-4836 | |
| (715) 870-2222 | |
| Not Available |
| Full Name | Robert Devine |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 613 N 5th St Ste 103, 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 |
|---|---|---|---|
| 1609416551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5500-12 (Wisconsin) | Primary |
| Provider Name | Long Chiropractic Center Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720478183 PECOS PAC ID: 8022337443 Enrollment ID: O20150507000501 |
| Provider Name | Jaworski Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073996468 PECOS PAC ID: 0042529182 Enrollment ID: O20151012002310 |
| Provider Name | Wausau Spine & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508637265 PECOS PAC ID: 8325487853 Enrollment ID: O20240417001716 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Devine, DC 321 Park Ave, Wausau, WI 54403-3479 Ph: () - | Robert Devine, DC 613 N 5th St Ste 103, Wausau, WI 54403-4836 Ph: (715) 870-2222 |
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