MEDICARE: SCOTT J WAGENKNECHT 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	3592 012	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	:	1952393910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT J WAGENKNECHT DC

Provider Business Mailing Address
First Line	:	8405 W FOREST HOME AVE
Second Line	:	STE 101
City	:	GREENFIELD
State	:	WI
Zip	:	53228-3407
Country	:	US
Telephone Number	:	414-423-9225
Fax Number	:	414-421-7516

Provider Business Practice Location Address
First Line	:	8405 W FOREST HOME AVE
Second Line	:	STE 101
City	:	GREENFIELD
State	:	WI
Zip	:	53228-3407
Country	:	US
Telephone Number	:	414-423-9225
Fax Number	:	414-421-7516

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447244850 — STEVEN MICHAEL LONGO DC
Practice Location Address:

8405 W FOREST HOME AVE , STE 101
GREENFIELD, WI
53228-3407

Practice Phone: 414-421-2225
Practice Fax: 414-421-7576

1740266170 — DR. JOHN EDWARD BISSELL D.D.S., M.S.
Practice Location Address:

8405 W FOREST HOME AVE
GREENFIELD, WI
53228-3407

Practice Phone: 414-425-7710
Practice Fax: 414-425-7424

1598773764 — DR. TIMOTHY J MCNAMARA DDS
Practice Location Address:

8405 W FOREST HOME AVE , SUITE 203
GREENFIELD, WI
53228-3407

Practice Phone: 414-425-7710
Practice Fax: 414-425-7424

1497842660 — DR. ANDREW S PATTERSON DDS
Practice Location Address:

8405 W FOREST HOME AVE
GREENFIELD, WI
53228-3407

Practice Phone: 414-529-5432
Practice Fax: 414-529-5432

1962553834 — PROGRESSIVE PERIODONITICS AND DENTAL IMPLANTS
Practice Location Address:

8405 W FOREST HOME AVE , SUITE 203
GREENFIELD, WI
53228-3407

Practice Phone: 414-425-7710
Practice Fax: 414-425-7424

1467663450 — LONGO CHIROPRACTIC, S.C.
Practice Location Address:

8405 W FOREST HOME AVE , SUITE 101
GREENFIELD, WI
53228-3407

Practice Phone: 414-421-2225
Practice Fax: 414-421-7516

Directions to “ SCOTT J WAGENKNECHT DC” 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.