| Riverside Family Chiropractic Clinic Chartered | |
|
114 A Rum River Drive North, Princeton, MN 55371 | |
| (763) 389-9242 | |
| (763) 631-0460 |
| Full Name | Riverside Family Chiropractic Clinic Chartered |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 114 A Rum River Drive North, Princeton, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295748127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | MN 4816 (Minnesota) | Primary |
| Provider Name | Tyler Paul Roehl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093125973 PECOS PAC ID: 4981925583 Enrollment ID: I20150608002865 |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Family Chiropractic Clinic Chartered 114 A Rum River Drive North, Princeton, MN 55371 Ph: (763) 389-9242 | Riverside Family Chiropractic Clinic Chartered 114 A Rum River Drive North, Princeton, MN 55371 Ph: (763) 389-9242 |
Dr. Michael Robert Gibbs, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 4th St S, Princeton, MN 55371 Phone: 763-389-4411 Fax: 763-389-4412 | |
Dr. Mary C. Berry, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 31835 124th St, Suite A, Princeton, MN 55371 Phone: 763-631-3070 | |
Dr. Steven Craig Vanhooser, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 209 Rum River Dr. N, Ste. 2, Princeton, MN 55371 Phone: 763-631-2225 Fax: 763-631-2226 | |
Dr. James Michael Gibbs, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 501 4th St S, Princeton, MN 55371 Phone: 763-389-4411 Fax: 763-389-4412 | |
Eric Timothy Brandt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 114 N Rum River Dr Ste A, Princeton, MN 55371 Phone: 763-389-9242 Fax: 763-631-0460 | |
Dr. Kathryn Marie Knafla, D.C., C.C.S.P Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 900 S Rum River Dr, Suite 101, Princeton, MN 55371 Phone: 763-389-5803 Fax: 763-389-0063 |