| Wellnessone Of Nisswa | |
|
5482 County Rd. 18, Nisswa, MN 56468 | |
| (218) 963-3311 | |
| (218) 963-3313 |
| Full Name | Wellnessone Of Nisswa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5482 County Rd. 18, Nisswa, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578646360 | 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 Nisswa Po Box 379, Nisswa, MN 56468-0379 Ph: (218) 963-3311 | Wellnessone Of Nisswa 5482 County Rd. 18, Nisswa, MN 56468 Ph: (218) 963-3311 |
Dr. Derrek Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5482 County Road 18, Nisswa, MN 56468 Phone: 218-963-3311 Fax: 218-963-3313 | |
Dr. Aron Michael Stumvoll, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5482 County Road 18, Nisswa, MN 56468 Phone: 218-963-3311 Fax: 218-963-3313 | |
John Charles Redebaugh, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5314 Nisswa Ave, Nisswa, MN 56474 Phone: 218-963-2944 Fax: 219-963-0899 | |
Mr. Seth Michael Smart, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 5314 Nisswa Avenue, Nisswa, MN 56468 Phone: 218-963-2944 Fax: 218-963-0899 | |
Northern Hope Functional Neurology And Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25503 Main St, Nisswa, MN 56468 Phone: 605-670-2898 | |
Northern Hope Better Balance Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25503 Main St, Nisswa, MN 56468 Phone: 218-232-3178 |