Brianna Blanck-grott, DC | |
709 Dyer St, Crivitz, WI 54114-7480 | |
(715) 854-5025 | |
(866) 323-0252 |
Full Name | Brianna Blanck-grott |
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Gender | Female |
Speciality | Chiropractor |
Location | 709 Dyer St, Crivitz, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831587633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038012744 (Illinois) | Secondary |
111N00000X | Chiropractor | 5051-12 (Wisconsin) | Secondary |
111N00000X | Chiropractor | 5051 (Wisconsin) | Primary |
Provider Name | Hart Chiropractic Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053529735 PECOS PAC ID: 0345322442 Enrollment ID: O20080129000243 |
Mailing Address | Practice Location Address |
---|---|
Brianna Blanck-grott, DC Po Box 593, Crivitz, WI 54114-0593 Ph: (715) 854-5025 | Brianna Blanck-grott, DC 709 Dyer St, Crivitz, WI 54114-7480 Ph: (715) 854-5025 |
Glen R Ledvina, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 107 N Highway 141, Crivitz, WI 54114 Phone: 715-854-7073 | |
Kellen Blanck-grott, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 709 Dyer St, Crivitz, WI 54114 Phone: 715-854-5025 | |
Northern Chiropractic And Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 709 Dyer St, Crivitz, WI 54114 Phone: 715-854-5025 |