| Dr James Bradley Dietz, DC | |
|
360 Sherman St Ste 400, Saint Paul, MN 55102 | |
| (651) 225-1102 | |
| (612) 977-1208 |
| Full Name | Dr James Bradley Dietz |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 10 Years |
| Location | 360 Sherman St Ste 400, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881057651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6194 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lighthouse Chiropractic Health Center, Inc | 5890795454 | 2 |
| Provider Name | Lighthouse Chiropractic Health Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487721684 PECOS PAC ID: 5890795454 Enrollment ID: O20070104000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Bradley Dietz, DC 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 Ph: (651) 225-1102 | Dr James Bradley Dietz, DC 360 Sherman St Ste 400, Saint Paul, MN 55102 Ph: (651) 225-1102 |
Dr. Dakota Aric Wilcox, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 966 Allen Ave, Saint Paul, MN 55118 Phone: 920-229-0870 | |
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