| Mr Neil A Wahlstrom, PT, MBA | |
|
528 W Pine St, Eagle River, WI 54521-9083 | |
| (715) 477-1523 | |
| (715) 477-1524 |
| Full Name | Mr Neil A Wahlstrom |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 528 W Pine St, Eagle River, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780761411 | NPI | - | NPPES |
| 40302900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5819-024 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Neil A Wahlstrom, PT, MBA 528 W Pine St, Eagle River, WI 54521-9083 Ph: (715) 477-1523 | Mr Neil A Wahlstrom, PT, MBA 528 W Pine St, Eagle River, WI 54521-9083 Ph: (715) 477-1523 |
Augustus Greife, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 528 W Pine St, Eagle River, WI 54521 Phone: 715-365-5252 | |
Jordan Knopf, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Eagle River, WI 54521 Phone: 715-479-0224 | |
Ms. Juanita C. Stageberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Rd., Eagle River, WI 54521 Phone: 715-479-0224 Fax: 715-479-0398 | |
Mr. Kurt William Klemm, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 528 Hwy 70 W, Eagle River, WI 54521 Phone: 715-477-1523 Fax: 715-477-1524 |