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895 Dettloff Dr Arcadia WI 54612-2600 | |
(608) 323-3373 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 895 Dettloff Dr, Arcadia, Wisconsin |
Authorized Official Name and Position | Mark Bortnem (CFO) |
Authorized Official Contact | 7158385270 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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895 Dettloff Dr Arcadia WI 54612-2600 Ph: (608) 323-3373 | 895 Dettloff Dr Arcadia WI 54612-2600 Ph: (608) 323-3373 |
NPI Number | 1972091361 |
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Provider Enumeration Date | 05/01/2018 |
Last Update Date | 03/20/2024 |
Medicare PECOS PAC ID | 0345152443 |
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Medicare Enrollment ID | O20180718003623 |
Identifier | Type | State | Issuer |
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1972091361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Procare Chiropractic S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 S Saint Joseph Ave Ste 2, Arcadia, WI 54612 Phone: 608-323-8563 |