MEDICARE: DR. STEPHEN E DREIER 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	1665	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00700888	OTHER	WI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	391395063012	OTHER	WI	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467447995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN E DREIER DC

Provider Business Mailing Address
First Line	:	601 S 32ND AVE
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54401-3958
Country	:	US
Telephone Number	:	715-848-1741
Fax Number	:	715-848-2225

Provider Business Practice Location Address
First Line	:	811 W BROADWAY AVE
Second Line	:
City	:	MEDFORD
State	:	WI
Zip	:	54451-1307
Country	:	US
Telephone Number	:	715-748-2334
Fax Number	:	715-748-1124

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	06/11/2009

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Directions to “ DR. STEPHEN E DREIER DC” Practice Location

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