Wiesztort Family Chiropractic Clinic, S.c. | |
4014 77th St Ste 2, Kenosha, WI 53142-4314 | |
(262) 694-3530 | |
(262) 925-8810 |
Full Name | Wiesztort Family Chiropractic Clinic, S.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 4014 77th St Ste 2, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033281167 | NPI | - | NPPES |
38911900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3514 (Wisconsin) | Primary |
Provider Name | Walter R Wiesztort |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003814336 PECOS PAC ID: 7719077619 Enrollment ID: I20071215000118 |
Mailing Address | Practice Location Address |
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Wiesztort Family Chiropractic Clinic, S.c. 4014 77th St Ste 2, Kenosha, WI 53142-4314 Ph: (262) 694-3530 | Wiesztort Family Chiropractic Clinic, S.c. 4014 77th St Ste 2, Kenosha, WI 53142-4314 Ph: (262) 694-3530 |
Dr. Walter Rudolph Wiesztort, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4014 77th St, Ste. 2, Kenosha, WI 53142 Phone: 262-694-3530 Fax: 262-925-8810 | |
Dr. Kristopher Wyllis Peterson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5703 75th St, Kenosha, WI 53142 Phone: 262-697-1363 Fax: 262-697-1388 | |
Dr. Amy L Foerster, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11300 75th St, Kenosha, WI 53142 Phone: 262-909-1039 Fax: 262-843-8218 | |
Dr. Daniel Charles Esposito, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1024 60th St, Suite 1, Kenosha, WI 53140 Phone: 262-657-7744 Fax: 262-657-7753 | |
Dr. William Todd Hendrick, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6824 103rd Ave, Kenosha, WI 53142 Phone: 262-948-8182 | |
Absolute Chiropractic & Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11300 75th St, Suite E, Kenosha, WI 53142 Phone: 262-909-1039 |