AS
ADVANCED SPINE CENTER OF WISCONSIN, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
NEENAH, WI
Licensed since
2019
Rate
—
Federal identifiers
NPI registry number1215492061
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients54
RevalidationDue 2024-10-31
Authorized official
NameJONATHAN BAILEY
TitleOFFICER/AUTHORIZED OFFICIAL
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