| North Star Medical Pllc | |
|
1330 Highway 96 E Ste 102, White Bear Lake, MN 55110-3651 | |
| (763) 999-4340 | |
| Not Available |
| Full Name | North Star Medical Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1330 Highway 96 E Ste 102, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548068968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Bianca Angela Bianchi-rossi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730759093 PECOS PAC ID: 5991108144 Enrollment ID: I20210726001063 |
| Provider Name | Sonja Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205465564 PECOS PAC ID: 1456878826 Enrollment ID: I20250508002203 |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Medical Pllc 1330 Highway 96 E Ste 102, White Bear Lake, MN 55110-3651 Ph: (763) 999-4340 | North Star Medical Pllc 1330 Highway 96 E Ste 102, White Bear Lake, MN 55110-3651 Ph: (763) 999-4340 |
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