Ryan Weyenberg (NPI# 1871026096, PAC ID# 7810273422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1871026096 |
| PAC ID by PECOS | 7810273422 |
| Professional Enrollment ID | I20170414000523 |
| Full Name | Ryan Weyenberg |
| Organization Legal Name | LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC, SC |
| Address |
1139 W Main St Suite B Whitewater WI 53190-1618 |
| Phone Number | 6082741945 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6204737240 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 825 Lexington Blvde, Suite 4, Fort Atkinson, WI 53538-1097 | 6082910614 | LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC, SC |
| 1139 W Main St, Suite B, Whitewater, WI 53190-1618 | 6082741945 | LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC, SC |
| Organization Legal Name | LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC, SC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Humphrey | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 5609 Medical Cir, Suite 2, Madison, WI 53719-1228 |
| Nicholas A Petrulis | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 3205 E Washington Ave, Madison, WI 53704-4332 |
| Mary Beth Cretney | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 3070 Fish Hatchery Rd, Suite 2, Fitchburg, WI 53713-3187 |
| Amy J Zimmerman | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 978 Park St, Oregon, WI 53575-3653 |
| Randall J Hohenstein | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 2702 Monroe St, Madison, WI 53711-1888 |
| Kurt Patrick Huemmer | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 6705 University Ave, Middleton, WI 53562 |
| Laura J Boyle | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 201 W Verona Ave, Suite 100, Verona, WI 53593-1456 |
| Jeffrey R Lyne | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Kelly J Towne | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 700 Old Hwy 69 S, New Glarus, WI 53574 |
| Todd M Tesch | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 808 E Main St, Watertown, WI 53094-3934 |
| Street Address |
1139 W MAIN ST SUITE B |
| City | WHITEWATER |
| State | WI |
| Zip | 53190-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Kidd | Family Practice | Dean Health Systems Inc | 435 W Starin, Whitewater, WI 53190-1133 |
| Colleen S Hebert | Optometry | Dean Health Systems Inc | 128 N Tratt St, Whitewater, WI 53190-1205 |
| Brandon D Sheetz | Optometry | Dean Health Systems Inc | 128 N Tratt St, Whitewater, WI 53190-1205 |
| Gerald O Theune | Optometry | Dean Health Systems Inc | 128 N Tratt St, Whitewater, WI 53190-1205 |
| Lisa M Lepeak | Hematology/oncology | Dean Health Systems Inc | 1305 W Main St, Whitewater, WI 53190-1503 |
| Summer L. Schuler | Nurse Practitioner | Dean Health Systems Inc | 1305 W Main St, Whitewater, WI 53190-1503 |
| Rachel J Martin | Physician Assistant | Dean Health Systems Inc | 1305 W Main St, Whitewater, WI 53190-1503 |
| Elizabeth M Jermier | Physician Assistant | Dean Health Systems Inc | 1305 W Main St, Whitewater, WI 53190-1503 |
| Amy E Mccabe | Physician Assistant | Dean Health Systems Inc | 1305 W Main St, Whitewater, WI 53190-1503 |
| Mark E Mcdade | General Surgery | Dean Health Systems Inc | 1305 W Main St, Whitewater, WI 53190-1503 |
| Find all physicians in zip 53190 | |||
| City | WHITEWATER |
| Zip Code | 53190 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WHITEWATER + CHIROPRACTIC |
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| 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.