| Wausau Spine & Rehab Llc | |
|
613 N 5th St Ste 103, Wausau, WI 54403-4836 | |
| (715) 870-2222 | |
| Not Available |
| Full Name | Wausau Spine & Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 613 N 5th St Ste 103, 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 |
|---|---|---|---|
| 1508637265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Robert Devine |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609416551 PECOS PAC ID: 1355772450 Enrollment ID: I20200505001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Wausau Spine & Rehab Llc 321 Park Ave, Wausau, WI 54403-3479 Ph: () - | Wausau Spine & Rehab Llc 613 N 5th St Ste 103, Wausau, WI 54403-4836 Ph: (715) 870-2222 |
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