MEDICARE: MR. MARK A SPRECHER D.C.

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	1508	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DG2212	OTHER	WI	RAILROAD MEDICARE-GRP #
3	350037231	OTHER	WI	RAILROAD MEDICARE-INDV #

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	:	1427177450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK A SPRECHER D.C.

Provider Business Mailing Address
First Line	:	3108 CHURCH ST
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-5305
Country	:	US
Telephone Number	:	715-341-0910
Fax Number	:	715-341-0093

Provider Business Practice Location Address
First Line	:	3108 CHURCH ST
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-5305
Country	:	US
Telephone Number	:	715-341-0910
Fax Number	:	715-341-0093

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	04/28/2008

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