| Raschke Chiropractic Center Sc | |
|
304 S Western Ave, Waupaca, WI 54981-5703 | |
| (715) 258-8211 | |
| (715) 258-0118 |
| Full Name | Raschke Chiropractic Center Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 304 S Western Ave, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750382537 | NPI | - | NPPES |
| 350045133 | Other | RAILROAD MEDICARE | |
| 343707 | Other | WI | EIN# |
| 38777200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1788-012 (Wisconsin) | Primary |
| Provider Name | Fred W Raschke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922151687 PECOS PAC ID: 6406039494 Enrollment ID: I20110329000703 |
| Provider Name | Miriam J Leean-rodenz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487755021 PECOS PAC ID: 0345238192 Enrollment ID: I20130304000276 |
| Provider Name | Dakota Ann Malzewski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811554991 PECOS PAC ID: 9133453210 Enrollment ID: I20190624001443 |
| Mailing Address | Practice Location Address |
|---|---|
| Raschke Chiropractic Center Sc 304 S Western Ave, Waupaca, WI 54981-5703 Ph: (715) 258-8211 | Raschke Chiropractic Center Sc 304 S Western Ave, Waupaca, WI 54981-5703 Ph: (715) 258-8211 |
Dr. Gina M. Koch, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1990 Godfrey Dr, Waupaca, WI 54981 Phone: 715-256-9616 Fax: 715-256-9618 | |
Chiropractic Health Center Of Waupaca Llc, Stuart Boelte Sole Mbr Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1326 Royalton St, Waupaca, WI 54981 Phone: 715-258-8288 Fax: 715-258-7195 | |
Waupaca Chiropractic Center, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 304 S Western Ave, Waupaca, WI 54981 Phone: 715-258-8211 | |
Roots Wholistic Health Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 717 Churchill St., Waupaca, WI 54981 Phone: 715-258-7001 Fax: 715-258-7048 | |
Dr. Miriam Joy Leean-rodenz, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 304 S Western Ave, Waupaca, WI 54981 Phone: 715-258-8211 Fax: 715-258-0118 | |
Mr. Scott R Bailey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: E1557 Grandview Rd, Waupaca, WI 54981 Phone: 715-256-0429 | |
Dante Grorich, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 815 W Fulton St Ste 6, Waupaca, WI 54981 Phone: 715-256-9616 |