| Suppes Enterprises, Inc. | |
|
5757 Sanibel Dr, Suite 11, Minnetonka, MN 55343-4110 | |
| (952) 939-0297 | |
| Not Available |
| Full Name | Suppes Enterprises, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5757 Sanibel Dr, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457690703 | NPI | - | NPPES |
| 068027300 | Other | MN | MEDICAL ASSISTANCE |
| 350000228 | Other | MN | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2069 (Minnesota) | Primary |
| Provider Name | Janice A Suppes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972677987 PECOS PAC ID: 8123019486 Enrollment ID: I20040524001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Suppes Enterprises, Inc. 5757 Sanibel Dr, Suite 11, Minnetonka, MN 55343-4110 Ph: (952) 939-0297 | Suppes Enterprises, Inc. 5757 Sanibel Dr, Suite 11, Minnetonka, MN 55343-4110 Ph: (952) 939-0297 |
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