| Wagner Family Chiropractic Sc | |
|
N9654 County Rd N Ste 3, Appleton, WI 54915-7272 | |
| (920) 968-0464 | |
| Not Available |
| Full Name | Wagner Family Chiropractic Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | N9654 County Rd N Ste 3, 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 |
|---|---|---|---|
| 1295857928 | NPI | - | NPPES |
| 38961100 | Medicaid | WI | |
| 38957300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4062-012 (Wisconsin) | Primary |
| Provider Name | Jody M Wagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487656799 PECOS PAC ID: 8123081130 Enrollment ID: I20041112000184 |
| Provider Name | Michael R Wagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740283183 PECOS PAC ID: 9032152046 Enrollment ID: I20050609000723 |
| Provider Name | Megan Elizabeth Gordley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356333447 PECOS PAC ID: 4981665890 Enrollment ID: I20180208001360 |
| Provider Name | Michael Ryan Fetter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518612837 PECOS PAC ID: 2466846993 Enrollment ID: I20220228001356 |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Family Chiropractic Sc N9654 County Rd N Ste 3, Appleton, WI 54915-7272 Ph: () - | Wagner Family Chiropractic Sc N9654 County Rd N Ste 3, Appleton, WI 54915-7272 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: 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 | |
Family & Sports Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3000 N Ballard Rd, Appleton, WI 54911 Phone: 920-830-2990 Fax: 920-830-0244 | |
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 |