| Chiropractic And Wellness Center Of Albertville Pllc | |
|
5676 Lacentre Avenue Ne Suite 202 Albertville MN 55301 | |
| (763) 497-0777 | |
| (763) 497-5377 |
| Full Name | Chiropractic And Wellness Center Of Albertville Pllc |
|---|---|
| Speciality | Chiropractor |
| Location | 5676 Lacentre Avenue Ne, Albertville, Minnesota |
| Authorized Official Name and Position | Andrew Konz (OWNER) |
| Authorized Official Contact | 7634970777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic And Wellness Center Of Albertville Pllc 5676 Lacentre Ave Suite 204 Albertville MN 55301 Ph: (763) 497-0777 | Chiropractic And Wellness Center Of Albertville Pllc 5676 Lacentre Avenue Ne Suite 202 Albertville MN 55301 Ph: (763) 497-0777 |
| NPI Number | 1770802019 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 07/06/2016 |
| Medicare PECOS PAC ID | 0749468932 |
|---|---|
| Medicare Enrollment ID | O20110616000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770802019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 5292 (Minnesota) | Primary |
| Provider Name | Andrew J Konz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053649160 PECOS PAC ID: 7517092398 Enrollment ID: I20100318000381 |
| Provider Name | Tyler James Riesgraf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083129514 PECOS PAC ID: 4789943317 Enrollment ID: I20180105000389 |
| Provider Name | Michael Kenneth Wotschke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306375167 PECOS PAC ID: 8022350131 Enrollment ID: I20190419000555 |
Stellis Health, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11091 Jason Ave Ne, Albertville, MN 55301 Phone: 763-684-8300 | |
Limitless Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5703 Lachman Ave Ne Ste 200, Albertville, MN 55301 Phone: 218-838-3168 |