MEDICARE: ANNE MAEDKE, DC DABCI

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	111NI0900X	Internist Chiropractor	1823-012	WI
2	111N00000X	Chiropractor	4119-012	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000035763	OTHER	WI	MEDICARE PTIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356515134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE MAEDKE, DC DABCI

Provider Business Mailing Address
First Line	:	715 E LOCUST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2546
Country	:	US
Telephone Number	:	414-263-7066
Fax Number	:	414-263-2688

Provider Business Practice Location Address
First Line	:	715 E LOCUST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2546
Country	:	US
Telephone Number	:	414-263-7066
Fax Number	:	414-263-2688

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. ANNE K MAEDKE
Credential	:	DC DABCI
Telephone Number	:	414-263-7066

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	04/14/2008

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