| Northwest Spine And Pain Center Of St. Michael, Pa | |
|
1 Central Ave W, Suite 201, Saint Michael, MN 55376-4591 | |
| (763) 497-0899 | |
| (763) 497-4035 |
| Full Name | Northwest Spine And Pain Center Of St. Michael, Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1 Central Ave W, Saint Michael, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609995877 | NPI | - | NPPES |
| 1306903299 | Other | MN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4894 (Minnesota) | Primary |
| Provider Name | Chad J Mattila |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306903299 PECOS PAC ID: 2264535319 Enrollment ID: I20070312000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Spine And Pain Center Of St. Michael, Pa 1 Central Ave W, Suite 201, Saint Michael, MN 55376-4591 Ph: (763) 497-0899 | Northwest Spine And Pain Center Of St. Michael, Pa 1 Central Ave W, Suite 201, Saint Michael, MN 55376-4591 Ph: (763) 497-0899 |
Dr. Troy William Tvedt Ii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 703 Thielen Dr, Saint Michael, MN 55376 Phone: 763-497-1152 Fax: 763-497-5256 | |
John Leigh, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 Central Ave E, Suite 70, Saint Michael, MN 55376 Phone: 763-497-2787 Fax: 763-497-4325 | |
St. Michael Spinal Rehab Center, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 400 Central Ave E Ste 70, Saint Michael, MN 55376 Phone: 763-497-2787 Fax: 763-497-4325 | |
Dr. Kimberly Ann Martin, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 100 Central Ave E, Suite 200, Saint Michael, MN 55376 Phone: 763-807-8969 Fax: 763-390-1381 | |
John Arns, Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 33 Main St S Ste 3, Saint Michael, MN 55376 Phone: 763-497-2211 | |
Complete Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 249 Central Ave E Ste 3, Saint Michael, MN 55376 Phone: 763-486-3563 |