| |
7461 Main St W, Webster, WI 54893-8209 | |
(715) 866-4880 | |
(715) 866-8661 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 7461 Main St W, Webster, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184932113 | NPI | - | NPPES |
1396823324 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3843-012 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Po Box 95, Webster, WI 54893-0095 Ph: (715) 866-4880 | 7461 Main St W, Webster, WI 54893-8209 Ph: (715) 866-4880 |
Dr. Benjamin Dale Blowers, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7461 Main St West, Webster, WI 54893 Phone: 715-866-4880 Fax: 715-866-8661 |