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NPI Code Detail

MEDICARE: ANNE MAEDKE, DC DABCI

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
1111NI0900XInternist Chiropractor1823-012WI
2111N00000XChiropractor4119-012WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000035763OTHERWIMEDICARE PTIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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