MEDICARE: DR. ANNE K 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	WI

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	:	1487659819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE K MAEDKE DC DABCI

Provider Business Mailing Address
First Line	:	2782 S WENTWORTH AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2354
Country	:	US
Telephone Number	:	414-483-8093
Fax Number	:

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/09/2007

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