DR. DAVID WAYNE ENGSTROM (NPI# 1417170846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417170846 |
| Entity Type | Individual |
| Full Name | DR. DAVID WAYNE ENGSTROM |
| Credential | DC |
| Practice Address |
1240 13th Avenue Grafton WI 53024 |
| Practice Telephone | 2623751470 |
| Practice Fax Number | 2623753580 |
| Mailing Telephone | 2623751470 |
| Mailing Fax Number | 2623753580 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1485 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38762500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437208071 | David Melvin Engstrom | Dentist | 1122 Rose Ave, Suite 1, Selma, CA 93662-3250 | 2007-01-10 |
| 1265646244 | David Theodore Engstrom | Acupuncturist | 3618 California Ave Sw, Seattle, WA 98116-3702 | 2007-05-09 |
| 1194850248 | David Ralph Engstrom | Psychologist | 9832 N Hayden Rd, Suite 106, Scottsdale, AZ 85258-1298 | 2007-02-22 |
| 1710058870 | David James Engstrom | Family Medicine | 14044 W Camelback Rd, Suite 126, Litchfield Park, AZ 85340-9428 | 2006-11-12 |
| Street Address |
1240 13TH AVENUE |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518205384 | Cari Saloch | Chiropractor | 824 Trillium Ct, Grafton, WI 53024-9512 | 2013-01-29 |
| 1952547978 | Grafton Chiropractic Clinic, P.C. | Chiropractor | 47 W 6th St, Grafton, ND 58237-1403 | 2008-12-22 |
| 1609011022 | Jeffrey A Albiero | Chiropractor | 1560 Harris Dr, Grafton, WI 53024-9003 | 2008-12-15 |
| 1033251871 | Clarissa Jane Carter | Chiropractor | 963 Main St, Grafton, OH 44044-1447 | 2007-02-12 |
| 1932275203 | Jerry Dean Blanchard | Chiropractor | 631 W 12th Street, Grafton, ND 58237-0185 | 2006-11-28 |
| 1730294398 | Thomas Meske | Chiropractor | 1664 7th Ave, Grafton, WI 53024-2333 | 2006-08-21 |
| 1538166624 | Jonathan Edward Jelinek | Chiropractor | 728 Hill Ave, Grafton, ND 58237-1448 | 2005-07-05 |
| 1316941651 | Clifford E. Bickerton | Chiropractor | 333 Lincoln St, Grafton, WV 26354-1562 | 2005-06-01 |
| 1780249235 | Darlington Chiropractic LLC | Chiropractor | 333 Lincoln Street, Grafton, WV 26354-1562 | 2019-05-09 |
| 1891234795 | Christopher Darlington | Chiropractor | 333 Lincoln St, Grafton, WV 26354 | 2017-02-13 |
| Find all providers in GRAFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.