MEDICARE: DR. KATY MARGARET TOMCZAK 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	4877-12	WI

General Provider Information

NPI Number	:	1841556529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATY MARGARET TOMCZAK D.C.

Provider Business Mailing Address
First Line	:	3701 DURAND AVE
Second Line	:	SUITE 145
City	:	RACINE
State	:	WI
Zip	:	53405-4458
Country	:	US
Telephone Number	:	262-554-5458
Fax Number	:	262-554-7465

Provider Business Practice Location Address
First Line	:	3701 DURAND AVE
Second Line	:	SUITE 145
City	:	RACINE
State	:	WI
Zip	:	53405-4458
Country	:	US
Telephone Number	:	262-554-5458
Fax Number	:	262-554-7465

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

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	03/05/2015

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