Dr. Walter Rudolph Wiesztort is a Kenosha, Wisconsin based male chiropractor with 27 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 1997. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Walter Rudolph Wiesztort as General Chiropractor is 3514-012 in Wisconsin. Dr. Walter Rudolph Wiesztort is qualified as 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.
Complete Profile:
Dr. Walter Rudolph Wiesztort speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7719077619
Enrollment ID:
I20071215000118
NPI Number:
1003814336
NPI Enumeration Date:
11 Jul, 2005
NPI Last Update On:
22 Apr, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Walter Rudolph Wiesztort are as mentioned below.
License Number
Specialization
State
Status
3514-012
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Walter Rudolph Wiesztort such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38911900
Medicaid
Wisconsin
521540114
Other
MACS
4400259
Other
UHC
0005896742
Other
AETNA
0191565
Other
CIGNA
721524922010
Other
Wisconsin
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4014 77th St, Ste. 2 Kenosha, Wisconsin
Zip:
53142-4314
Phone Number:
262-694-3530
Fax Number:
262-925-8810
Patients can reach Dr. Walter Rudolph Wiesztort at 4014 77th St, Ste. 2, Kenosha, Wisconsin or can call to book an appointment on 262-694-3530. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.