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308 E Northland Ave, Appleton, WI 54911-2163 | |
| (920) 739-6800 | |
| (920) 739-3999 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 308 E Northland Ave, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619165875 | NPI | - | NPPES |
| 38976800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3082-012 (Wisconsin) | Primary |
| Provider Name | Kenneth L Otto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770647521 PECOS PAC ID: 6709800766 Enrollment ID: I20060118000397 |
| Provider Name | Levi Otto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720789290 PECOS PAC ID: 9032574082 Enrollment ID: I20230427000806 |
| Mailing Address | Practice Location Address |
|---|---|
308 E Northland Ave, Appleton, WI 54911-2163 Ph: (920) 739-6800 | 308 E Northland Ave, Appleton, WI 54911-2163 Ph: (920) 739-6800 |
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: Not Enrolled in Medicare 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 | |
Issabella Veronica Stueck, CHIROPRACTOR Chiropractor Medicare: Medicare Enrolled Practice Location: 645 W Ridgeview Dr, Appleton, WI 54911 Phone: 920-997-9740 | |
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 |