| Dominic Samuel Laspisa, | |
|
20900 Swenson Dr Ste 650, Waukesha, WI 53186-2077 | |
| (414) 600-1795 | |
| Not Available |
| Full Name | Dominic Samuel Laspisa |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 20900 Swenson Dr Ste 650, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063203404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6309-12 (Wisconsin) | Primary |
| Provider Name | The Neurologic Wellness Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578246054 PECOS PAC ID: 5991159907 Enrollment ID: O20230925003443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Samuel Laspisa, 10590 W Cortez Cir Apt 90-34, Franklin, WI 53132-2902 Ph: (847) 507-2459 | Dominic Samuel Laspisa, 20900 Swenson Dr Ste 650, Waukesha, WI 53186-2077 Ph: (414) 600-1795 |
Dr. Ryan Michael Hetzel, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1720 Dolphin Ct, Suite E, Waukesha, WI 53186 Phone: 262-547-7441 Fax: 262-547-1971 | |
Edwards Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21195 Watertown Rd, Waukesha, WI 53186 Phone: 414-784-3277 Fax: 262-784-1957 | |
Heather Davidson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21075 Swenson Drive Suite 700, Waukesha, WI 53186 Phone: 262-754-6850 | |
Dr. Breyan Michelle Radeck, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2717 N Grandview Blvd Ste 101, Waukesha, WI 53188 Phone: 262-349-9370 Fax: 262-349-9729 | |
Breyan Radeck Dc, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2717 N Grandview Blvd Ste 101, Waukesha, WI 53188 Phone: 262-349-9370 Fax: 262-349-9729 | |
Elite Sport & Spine, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1375 S Cherokee Dr, Waukesha, WI 53186 Phone: 920-723-5197 |