| Wellnessone Of Crosslake | |
|
35272 County Road 3, Crosslake, MN 56442-2804 | |
| (218) 692-3700 | |
| (218) 692-3700 |
| Full Name | Wellnessone Of Crosslake |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 35272 County Road 3, Crosslake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396795092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Derrek N Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043393838 PECOS PAC ID: 8527954858 Enrollment ID: I20040226000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnessone Of Crosslake 35272 County Road 3, Crosslake, MN 56442-2804 Ph: (218) 692-3700 | Wellnessone Of Crosslake 35272 County Road 3, Crosslake, MN 56442-2804 Ph: (218) 692-3700 |
Dr. Anicia Gwen Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13743 E Shore Rd, Crosslake, MN 56442 Phone: 218-692-1616 Fax: 218-692-1626 | |
Northwoods Chiropractic P. A. Chiropractor Medicare: Medicare Enrolled Practice Location: 13743 E Shore Rd, Crosslake, MN 56442 Phone: 218-692-1616 Fax: 218-692-1626 |