| Pequot Lakes Chiropractic And Sports Injury Center P.a | |
|
31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | |
| (218) 568-7767 | |
| (218) 568-4580 |
| Full Name | Pequot Lakes Chiropractic And Sports Injury Center P.a |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 31095 Bergquist Drive, Pequot Lakes, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376602656 | NPI | - | NPPES |
| 043813800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3271 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pequot Lakes Chiropractic And Sports Injury Center P.a Po Box 8, Pequot Lakes, MN 56472 Ph: (218) 568-7767 | Pequot Lakes Chiropractic And Sports Injury Center P.a 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 Ph: (218) 568-7767 |
Dr. Ryan Dennis Buell, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31095 Bergquist Drive, Pequot Lakes, MN 56472 Phone: 218-568-7767 Fax: 218-568-4580 | |
Dr. Nadine Indihar, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31170 Government Dr, Pequot Lakes, MN 56472 Phone: 218-568-5648 | |
Pequot Lakes Chiropractic Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 31095 Berquist Dr, Pequot Lakes, MN 56472 Phone: 218-568-7767 Fax: 218-568-4580 | |
Dr. Joshua Alan Dietze, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 31095 Berquist Dr, Pequot Lakes, MN 56472 Phone: 218-568-7767 | |
Dr. Michelle Rae Lelwica, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 31108 Government Dr, Pequot Lakes, MN 56472 Phone: 218-568-5648 Fax: 218-568-5698 |