| Sandquist Chiropractic | |
|
1202 Grand Ave, Wausau, WI 54403-6690 | |
| (715) 842-7711 | |
| Not Available |
| Full Name | Sandquist Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1202 Grand Ave, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437528098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2345-012 (Wisconsin) | Primary |
| Provider Name | Corey M Sandquist |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730285701 PECOS PAC ID: 9436342755 Enrollment ID: I20101019001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandquist Chiropractic 1202 Grand Ave, Wausau, WI 54403-6690 Ph: (715) 842-7711 | Sandquist Chiropractic 1202 Grand Ave, Wausau, WI 54403-6690 Ph: (715) 842-7711 |
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