| Waupaca Chiropractic Center, Inc | |
|
304 S Western Ave, Waupaca, WI 54981-5703 | |
| (715) 258-8211 | |
| Not Available |
| Full Name | Waupaca Chiropractic Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 304 S Western Ave, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124194790 | NPI | - | NPPES |
| 38934000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3651 (Wisconsin) | Primary |
| Provider Name | Miriam J Leean-rodenz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487755021 PECOS PAC ID: 0345238192 Enrollment ID: I20130304000276 |
| Provider Name | Tanner Gilman Ozanne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427509439 PECOS PAC ID: 7911285002 Enrollment ID: I20161110002684 |
| Mailing Address | Practice Location Address |
|---|---|
| Waupaca Chiropractic Center, Inc 304 S Western Ave, Waupaca, WI 54981-5703 Ph: (715) 258-8211 | Waupaca Chiropractic Center, Inc 304 S Western Ave, Waupaca, WI 54981-5703 Ph: (715) 258-8211 |
Dr. Gina M. Koch, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1990 Godfrey Dr, Waupaca, WI 54981 Phone: 715-256-9616 Fax: 715-256-9618 | |
Roots Wholistic Health Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 717 Churchill St., Waupaca, WI 54981 Phone: 715-258-7001 Fax: 715-258-7048 | |
Dr. Miriam Joy Leean-rodenz, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 304 S Western Ave, Waupaca, WI 54981 Phone: 715-258-8211 Fax: 715-258-0118 | |
Mr. Scott R Bailey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: E1557 Grandview Rd, Waupaca, WI 54981 Phone: 715-256-0429 | |
Waupaca Chiropractic Center, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 700 Hillcrest Dr, Waupaca, WI 54981 Phone: 715-258-8211 Fax: 715-258-0118 | |
Koch Chiropractic And Wellness Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1990 Godfrey Dr, Waupaca, WI 54981 Phone: 715-256-9616 Fax: 715-256-9618 |