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NPI Code Detail

MEDICARE: MOZELLE L STOIBER D.C.

MEDICARE: MOZELLE L STOIBER 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
1111N00000XChiropractor3836-012WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992783989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOZELLE L STOIBER D.C.
Provider Business Mailing Address
First Line : 1210 PARKWOOD DR
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5488
Country : US
Telephone Number : 715-424-4646
Fax Number : 715-424-3354
Provider Business Practice Location Address
First Line : 1210 PARKWOOD DR
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5488
Country : US
Telephone Number : 715-424-4646
Fax Number : 715-424-3354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 08/02/2017

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Directions to “ MOZELLE L STOIBER D.C.” Practice Location

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