| Michael John Peterson, DC | |
|
125 E Holly Blvd, Brandon, SD 57005 | |
| (605) 582-8800 | |
| Not Available |
| Full Name | Michael John Peterson |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 125 E Holly Blvd, Brandon, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053159640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1485 (South Dakota) | Primary |
| Provider Name | Chirosport Brandon, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942048558 PECOS PAC ID: 2668910753 Enrollment ID: O20240820004515 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael John Peterson, DC 5413 S Seville Pl, Sioux Falls, SD 57108-7572 Ph: (712) 899-3597 | Michael John Peterson, DC 125 E Holly Blvd, Brandon, SD 57005 Ph: (605) 582-8800 |
Envive Brandon Prof Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Paige Ward, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-583-6546 | |
Dr. Brian John Dozark, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 128 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 | |
Dr. Phillip Myles Dixon, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Dr. David Fitzgerald Ward, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-582-6546 | |
Dr. Michael Cody Huisman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 117 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 |