Tyler Allen Malueg, | |
2069 Central Ct Ste 11, Green Bay, WI 54311-4281 | |
(920) 241-6808 | |
Not Available |
Full Name | Tyler Allen Malueg |
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Gender | Male |
Speciality | Chiropractic |
Experience | 7 Years |
Location | 2069 Central Ct Ste 11, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376067413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5287-12 (Wisconsin) | Primary |
Provider Name | Atlas Spinal Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861916769 PECOS PAC ID: 7214201540 Enrollment ID: O20170925002452 |
Mailing Address | Practice Location Address |
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Tyler Allen Malueg, 2069 Central Ct Ste 11, Green Bay, WI 54311-4281 Ph: () - | Tyler Allen Malueg, 2069 Central Ct Ste 11, Green Bay, WI 54311-4281 Ph: (920) 241-6808 |
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