Mark J Vandecastle (NPI# 1649390352, PAC ID# 7911000906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1649390352 |
| PAC ID by PECOS | 7911000906 |
| Professional Enrollment ID | I20120427000130 |
| Full Name | Mark J Vandecastle |
| Address |
140 N Townline Rd Wautoma WI 54982-0512 |
| Phone Number | 9207870122 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 140 N Townline Rd, Wautoma, WI 54982-0512 | 9207870122 |
| Street Address |
140 N TOWNLINE RD |
| City | WAUTOMA |
| State | WI |
| Zip | 54982-0512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Gruszka | Chiropractic | 140 N Town Line Road, Wautoma, WI 54982-0246 | |
| Chandler Donald Caves | Emergency Medicine | Thedacare Incorporated | W7713 Johnson Ct, Wautoma, WI 54982-5274 |
| Timothy R Roberts | Family Medicine | Thedacare Incorporated | N2934 Hwy 22 N, Wautoma, WI 54982-5802 |
| Laura L Baehnman | Nurse Practitioner | Thedacare Incorporated | N2934 Hwy 22 N, Wautoma, WI 54982-5802 |
| Paul Michael Shattuck | Family Medicine | Thedacare Incorporated | N2934 Hwy 22 N, Wautoma, WI 54982-5802 |
| Amy Schoenoff | Nurse Practitioner | La Clinica De Los Campesinos, Inc | 400 S Townline Rd, Wautoma, WI 54982-6922 |
| Paige Dorsey | Nurse Practitioner | La Clinica De Los Campesinos, Inc | 400 S Townline Rd, Wautoma, WI 54982-6922 |
| Fred L Groos | General Practice | La Clinica De Los Campesinos, Inc | 400 S Townline Rd, Wautoma, WI 54982-6922 |
| Javier A Rincon | Family Medicine | La Clinica De Los Campesinos, Inc | 400 S Townline Rd, Wautoma, WI 54982-6922 |
| Cheston E Price | Family Medicine | La Clinica De Los Campesinos, Inc | 400 S Townline Rd, Wautoma, WI 54982-6922 |
| Find all physicians in zip 54982 | |||
| City | WAUTOMA |
| Zip Code | 54982 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WAUTOMA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mark J Vandecastle.
| 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.