MEDICARE: STAUDENMAIER CHIROPRACTIC WELLNESS CENTER, S.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	3209-012	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3209-012	OTHER	WI	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1578694253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAUDENMAIER CHIROPRACTIC WELLNESS CENTER, S.C.

Provider Business Mailing Address
First Line	:	30 N 18TH AVE
Second Line	:
City	:	STURGEON BAY
State	:	WI
Zip	:	54235-3207
Country	:	US
Telephone Number	:	920-743-7255
Fax Number	:	920-743-7256

Provider Business Practice Location Address
First Line	:	30 N 18TH AVE
Second Line	:
City	:	STURGEON BAY
State	:	WI
Zip	:	54235-3207
Country	:	US
Telephone Number	:	920-743-7255
Fax Number	:	920-743-7256

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUKE ERIC STAUDENMAIER
Credential	:	D.C.
Telephone Number	:	920-743-7255

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/31/2011

Similar Medicare Providers

1093702920 — LUKE ERIC STAUDENMAIER D.C.
Practice Location Address:

30 N 18TH AVE , SUITE #3
STURGEON BAY, WI
54235-3207

Practice Phone: 920-743-7255
Practice Fax: 920-743-7256

1255425088 — PENINSULA PODIATRY LLC
Practice Location Address:

BLDG 4 2 , 30 NORTH 18TH AVENUE
STURGEON BAY, WI
54235-3207

Practice Phone: 920-743-6668
Practice Fax: 920-743-9222

1154409175 — DR. CHRISTOPHER F MILDENBERG MD
Practice Location Address:

30 N 18TH AVE STE 4B
STURGEON BAY, WI
54235-3207

Practice Phone: 920-818-1001
Practice Fax: 833-438-1838

1619098530 — DR. JENNIFER K OLSON D.D.S
Practice Location Address:

30 N 18TH AVE
STURGEON BAY, WI
54235-3207

Practice Phone: 920-743-9275
Practice Fax:

1528281862 — DR. BRADLEY GERARD BURKART DPM
Practice Location Address:

BLDG 4 2 , 30 NORTH 18TH AVENUE
STURGEON BAY, WI
54235-3207

Practice Phone: 920-743-6668
Practice Fax:

1275757767 — DR. TYLER HUBBARD DDS
Practice Location Address:

30 N 18TH AVE , UNIT #2
STURGEON BAY, WI
54235-3207

Practice Phone: 920-743-6911
Practice Fax:

Directions to “STAUDENMAIER CHIROPRACTIC WELLNESS CENTER, S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.