MEDICARE: QUICK FIX AFTER HOURS CHIROPRACTIC CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1053663674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUICK FIX AFTER HOURS CHIROPRACTIC CARE, LLC

Provider Business Mailing Address
First Line	:	4861 LARSON BEACH RD
Second Line	:
City	:	MC FARLAND
State	:	WI
Zip	:	53558-8735
Country	:	US
Telephone Number	:	608-838-7723
Fax Number	:	608-838-6379

Provider Business Practice Location Address
First Line	:	4861 LARSON BEACH RD
Second Line	:
City	:	MC FARLAND
State	:	WI
Zip	:	53558-8735
Country	:	US
Telephone Number	:	608-838-7723
Fax Number	:	608-838-6379

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. ANN METZLER
Credential	:	DC
Telephone Number	:	608-838-7723

Provider Enumeration Date	:	10/05/2012
Last Update Date	:	10/05/2012

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