| Spine & Brain Group Sc | |
|
505 S 24th Ave Ste 200 Wausau WI 54401-1706 | |
| (715) 396-3191 | |
| (715) 396-3191 |
| Full Name | Spine & Brain Group Sc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 505 S 24th Ave Ste 200, Wausau, Wisconsin |
| Authorized Official Name and Position | Christopher I Mackay (OWNER) |
| Authorized Official Contact | 7153963191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Brain Group Sc 505 S 24th Ave Ste 200 Wausau WI 54401-1706 Ph: (715) 396-3191 | Spine & Brain Group Sc 505 S 24th Ave Ste 200 Wausau WI 54401-1706 Ph: (715) 396-3191 |
| NPI Number | 1073727277 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 04/15/2025 |
| Medicare PECOS PAC ID | 4789783648 |
|---|---|
| Medicare Enrollment ID | O20070619000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073727277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
| Provider Name | Christopher Ian Mackay |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538269402 PECOS PAC ID: 7517066475 Enrollment ID: I20070619000316 |
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