| Mark H Killian, PT, LAT | |
|
1970 Navajo St, Rhinelander, WI 54501-8890 | |
| (715) 420-1593 | |
| (715) 362-0512 |
| Full Name | Mark H Killian |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1970 Navajo St, Rhinelander, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831208693 | NPI | - | NPPES |
| 40286100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4902-024 (Wisconsin) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 38-039 (Wisconsin) | Secondary |
| Provider Name | Howard Young Medical Center Inc Of Woodruff Wisconsin |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
| Provider Name | Aspirus Eagle River Hospital & Clinics, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H Killian, PT, LAT 1970 Navajo St, Rhinelander, WI 54501-8890 Ph: (715) 420-1593 | Mark H Killian, PT, LAT 1970 Navajo St, Rhinelander, WI 54501-8890 Ph: (715) 420-1593 |
Brittany L Knetter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 586 Shepard St, Rhinelander, WI 54501 Phone: 715-365-5252 | |
Excelrehab & Spine Center, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 Boyce Dr, Rhinelander, WI 54501 Phone: 715-358-1929 | |
Elizabeth G Fjelstad, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1970 Navajo St, Rhinelander, WI 54501 Phone: 715-420-0728 Fax: 715-420-0729 | |
Tyler Red Thorsen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 586 Shepard St, Rhinelander, WI 54501 Phone: 715-365-5252 | |
David L Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2251 North Shore Dr, Rhinelander, WI 54501 Phone: 715-361-2300 Fax: 715-361-2877 | |
Mr. Michael Joseph Murcko, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 586 Shepard St, Rhinelander, WI 54501 Phone: 715-365-5252 Fax: 715-365-5258 | |
Robert F Wojnowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2251 N Shore Dr Ste 100, Rhinelander, WI 54501 Phone: 715-361-2300 Fax: 715-361-2877 |