MEDICARE: MEGAN WYNELL DETTLOFF CA

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	171100000X	Acupuncturist	723-55	WI

General Provider Information

NPI Number	:	1669718987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN WYNELL DETTLOFF CA

Provider Business Mailing Address
First Line	:	9559 COUNTY ROAD Y
Second Line	:
City	:	MAZOMANIE
State	:	WI
Zip	:	53560-9677
Country	:	US
Telephone Number	:	608-797-2638
Fax Number	:

Provider Business Practice Location Address
First Line	:	942 WATER ST
Second Line	:
City	:	SAUK CITY
State	:	WI
Zip	:	53583-1535
Country	:	US
Telephone Number	:	608-571-2942
Fax Number	:

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

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	10/02/2024

Similar Medicare Providers

1689688533 — MRS. CHANTEL L. HASMAN MPT
Practice Location Address:

944 WATER ST
SAUK CITY, WI
53583-1535

Practice Phone: 608-643-3495
Practice Fax: 608-643-6719

1073775730 — SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP
Practice Location Address:

944 WATER ST
SAUK CITY, WI
53583-1535

Practice Phone: 608-643-3495
Practice Fax: 608-643-6719

1700815008 — NORTH BENTON DENTAL CARE
Practice Location Address:

400 N BENTON DR
SAUK RAPIDS, MN
56379-1535

Practice Phone: 320-253-4206
Practice Fax:

1417153818 — DR. DAVID A RUSSELL DDS
Practice Location Address:

400 N BENTON DR
SAUK RAPIDS, MN
56379-1535

Practice Phone: 320-253-4206
Practice Fax: 320-202-7803

1487435665 — ROBERT SYPNIEWSKI
Practice Location Address:

4358 N TOPPING AVE
KANSAS CITY, MO
64117-1535

Practice Phone: 913-283-4345
Practice Fax:

1477512234 — MR. JOHN P KELLY MD
Practice Location Address:

1535 MEDICAL PKWY , STE B
CARSON CITY, NV
89703-4654

Practice Phone: 775-445-7960
Practice Fax: 775-883-3395

Directions to “ MEGAN WYNELL DETTLOFF CA” 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.