John H Eidem (NPI# 1013992627, PAC ID# 6406019355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1013992627 |
| PAC ID by PECOS | 6406019355 |
| Professional Enrollment ID | I20120514000131 |
| Full Name | John H Eidem |
| Address |
514 E Lake St Horicon WI 53032-1265 |
| Phone Number | 9204854009 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1987 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 514 E Lake St, Horicon, WI 53032-1265 | 9204854009 |
| Street Address |
514 E LAKE ST |
| City | HORICON |
| State | WI |
| Zip | 53032-1265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Lea Butler | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 610 Washington St, Horicon, WI 53032-1552 |
| Andrew M Guminski | Internal Medicine | Beaver Dam Community Hospitals Inc | 610 Washington St, Horicon, WI 53032-1552 |
| Ryan Patrick Gallagher | Physician Assistant | Beaver Dam Community Hospitals Inc | 610 Washington St, Horicon, WI 53032-1552 |
| City | HORICON |
| Zip Code | 53032 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HORICON + CHIROPRACTIC |
Please comment or provide details below to improve the information on John H Eidem.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.