| Dr Marcus Ryan Moore, DC | |
|
833 Meander Ct, Hamel, MN 55340-4549 | |
| (612) 470-0635 | |
| Not Available |
| Full Name | Dr Marcus Ryan Moore |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 833 Meander Ct, Hamel, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487309118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6939 (Minnesota) | Primary |
| Provider Name | Sota Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922733500 PECOS PAC ID: 5890178750 Enrollment ID: O20220810002979 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marcus Ryan Moore, DC 833 Meander Ct, Hamel, MN 55340-4549 Ph: (612) 470-0635 | Dr Marcus Ryan Moore, DC 833 Meander Ct, Hamel, MN 55340-4549 Ph: (612) 470-0635 |
Fortin Health & Wellness Clinic, Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 149 Hamel Road, Hamel, MN 55340 Phone: 763-478-3978 Fax: 763-478-3502 | |
Dr. Brenda Karen Fortin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 75 Hamel Rd, Hamel, MN 55340 Phone: 763-478-3978 Fax: 763-478-3502 | |
Sota Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 833 Meander Ct, Hamel, MN 55340 Phone: 612-470-0635 |