| Saukville Chiropractic Wellness Center Inc. | |
|
620 E Green Bay Ave Ste 104, Saukville, WI 53080-2039 | |
| (262) 284-0022 | |
| (855) 798-9891 |
| Full Name | Saukville Chiropractic Wellness Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 620 E Green Bay Ave Ste 104, Saukville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245407568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Provider Name | Ty C Wade |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922145101 PECOS PAC ID: 5395733208 Enrollment ID: I20040430001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Saukville Chiropractic Wellness Center Inc. 620 E Green Bay Ave Ste 104, Saukville, WI 53080-2039 Ph: (262) 284-0022 | Saukville Chiropractic Wellness Center Inc. 620 E Green Bay Ave Ste 104, Saukville, WI 53080-2039 Ph: (262) 284-0022 |
Dr. Michael D Erickson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 902 S Main St Ste 201, Saukville, WI 53080 Phone: 262-268-0606 | |
Mr. Ty C. Wade, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 620 E. Green Bay Ave., Suite 104, Saukville, WI 53080 Phone: 262-284-0022 Fax: 262-268-0715 |