MEDICARE: DR. BRIAN E PALEVAC DC

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	111N00000X	Chiropractor	2019	WI

General Provider Information

NPI Number	:	1063618718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN E PALEVAC DC

Provider Business Mailing Address
First Line	:	540 BAIRD CREEK RD APT 11
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-7104
Country	:	US
Telephone Number	:	414-529-5972
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 BAIRD CREEK RD APT 11
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-7104
Country	:	US
Telephone Number	:	414-529-5972
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	01/12/2026

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