| Restore Spine And Wellness Llc | |
|
122 Green Bay Rd Ste 100, Thiensville, WI 53092-1679 | |
| (262) 478-9104 | |
| (262) 478-9105 |
| Full Name | Restore Spine And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 122 Green Bay Rd Ste 100, Thiensville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013314947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3623-012 (Wisconsin) | Primary |
| Provider Name | Andrew J Mcguire |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760820005 PECOS PAC ID: 5890099139 Enrollment ID: I20160218000020 |
| Provider Name | Ashley A Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174018584 PECOS PAC ID: 2163770637 Enrollment ID: I20180731004147 |
| Provider Name | Austin Gunderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306435466 PECOS PAC ID: 5395159628 Enrollment ID: I20210128001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Spine And Wellness Llc 122 Green Bay Rd Ste 100, Thiensville, WI 53092-1679 Ph: (262) 478-9104 | Restore Spine And Wellness Llc 122 Green Bay Rd Ste 100, Thiensville, WI 53092-1679 Ph: (262) 478-9104 |
Dr. Ashley Noel Doebert, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 208 N Main St, Thiensville, WI 53092 Phone: 262-677-1136 | |
Fenske Chiropractic Clinic S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 227 S Main St, Thiensville, WI 53092 Phone: 262-242-7383 | |
Serve Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 216 Green Bay Rd Ste 106, Thiensville, WI 53092 Phone: 262-402-3761 | |
Austin Gunderson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 122 Green Bay Rd Ste 100, Thiensville, WI 53092 Phone: 262-478-9104 | |
Dr. Maria Fenske, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 227 S Main St, Thiensville, WI 53092 Phone: 262-242-7383 Fax: 262-242-2744 | |
Jennifer Hohn, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 216 Green Bay Rd Ste 106, Thiensville, WI 53092 Phone: 262-302-4241 |