| Dr Antonio Lopez Jr, DC | |
|
N110 Brux Rd, Appleton, WI 54915-9439 | |
| (920) 968-0464 | |
| Not Available |
| Full Name | Dr Antonio Lopez Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Rehabilitation |
| Location | N110 Brux Rd, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164291415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 04200 (Maryland) | Primary |
| Provider Name | Wagner Family Chiropractic Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295857928 PECOS PAC ID: 9335102342 Enrollment ID: O20041110000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Antonio Lopez Jr, DC 8894 Stanford Blvd Ste 102, Columbia, MD 21045-5161 Ph: (443) 259-0235 | Dr Antonio Lopez Jr, DC N110 Brux Rd, Appleton, WI 54915-9439 Ph: (920) 968-0464 |
Bradley Rahikainen, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2021 S Oneida St, Appleton, WI 54915 Phone: 920-733-3371 | |
Klusendorf Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2505 E Evergreen Dr, Ste, Appleton, WI 54913 Phone: 920-735-0773 Fax: 920-735-0293 | |
Timothy John Ourada, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3020 East College Avenue, Suite F, Appleton, WI 54915 Phone: 920-738-9997 Fax: 920-738-0603 | |
Daniel Handrich, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1221 E Northland Ave, Appleton, WI 54911 Phone: 812-914-2185 Fax: 920-954-1006 | |
Judy F. Ellefson, D.c., S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3000 N Ballard Rd, Appleton, WI 54911 Phone: 920-830-2990 Fax: 920-830-0244 | |
Dr. Sean C Duffy, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 811 N Lynndale Dr, Ste 1b, Appleton, WI 54914 Phone: 920-733-9330 Fax: 920-733-7220 | |
Dr. Abdoullah Aboulhassani, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1801 N Richmond St, Appleton, WI 54911 Phone: 920-831-4110 Fax: 920-831-4111 |