| Pequot Lakes Chiropractic Pa | |
|
31095 Berquist Dr, Pequot Lakes, MN 56472-5647 | |
| (218) 568-7767 | |
| (218) 568-4580 |
| Full Name | Pequot Lakes Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 31095 Berquist Dr, Pequot Lakes, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417540774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Joshua Alan Dietze |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467874941 PECOS PAC ID: 9234356767 Enrollment ID: I20210302002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Pequot Lakes Chiropractic Pa Po Box 281, Pequot Lakes, MN 56472-0241 Ph: (218) 568-7767 | Pequot Lakes Chiropractic Pa 31095 Berquist Dr, Pequot Lakes, MN 56472-5647 Ph: (218) 568-7767 |
Dr. Justin Curtis Gronholz, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 31108 Government Dr, Pequot Lakes, MN 56472 Phone: 218-568-5648 Fax: 218-568-5698 | |
Dr. Ryan Dennis Buell, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31095 Bergquist Drive, Pequot Lakes, MN 56472 Phone: 218-568-7767 Fax: 218-568-4580 | |
Pequot Lakes Chiropractic And Sports Injury Center P.a Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31095 Bergquist Drive, Pequot Lakes, MN 56472 Phone: 218-568-7767 Fax: 218-568-4580 | |
Dr. Nadine Indihar, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31170 Government Dr, Pequot Lakes, MN 56472 Phone: 218-568-5648 | |
Dr. Joshua Alan Dietze, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 31095 Berquist Dr, Pequot Lakes, MN 56472 Phone: 218-568-7767 | |
Hopkins Health And Wellness Lakes Area Chiropractor Medicare: Medicare Enrolled Practice Location: 31108 Government Dr, Suite 108, Pequot Lakes, MN 56472 Phone: 218-568-5648 Fax: 218-568-5698 |