| Dr Ryan William Waddell, DC | |
|
10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 | |
| (763) 400-4940 | |
| Not Available |
| Full Name | Dr Ryan William Waddell |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 11 Years |
| Location | 10995 Club West Pkwy Ste 400, Blaine, 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 |
|---|---|---|---|
| 1063800704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6017 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Club West Chiropractic, Pa | 7416310610 | 3 |
| Provider Name | Lindstrom Chiropractic Center, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043548951 PECOS PAC ID: 5395871115 Enrollment ID: O20100331000946 |
| Provider Name | Club West Chiropractic, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427447432 PECOS PAC ID: 7416310610 Enrollment ID: O20230905002557 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan William Waddell, DC 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 Ph: (763) 400-4940 | Dr Ryan William Waddell, DC 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 Ph: (763) 400-4940 |
Dr. Rebecca R Jackson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12203 Aberdeen St Ne Ste 140, Blaine, MN 55449 Phone: 763-785-4120 Fax: 763-785-4172 | |
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Lindstrom Chiropractic Center, Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10995 Club West Pkwy, Suite 400, Blaine, MN 55449 Phone: 763-400-4940 Fax: 763-634-8580 | |
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