| Dahl Chiropractic Services | |
|
One Groveland Terrace Suite #202 Minneapolis MN 55403-1174 | |
| (612) 823-1702 | |
| (612) 354-7577 |
| Full Name | Dahl Chiropractic Services |
|---|---|
| Speciality | Clinic/Center |
| Location | One Groveland Terrace, Minneapolis, Minnesota |
| Authorized Official Name and Position | Gregory James Dahl (OWNER) |
| Authorized Official Contact | 6128231702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dahl Chiropractic Services Po Box 19252 Minneapolis MN 55419-0252 Ph: (612) 823-1702 | Dahl Chiropractic Services One Groveland Terrace Suite #202 Minneapolis MN 55403-1174 Ph: (612) 823-1702 |
| NPI Number | 1871794578 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 06/04/2015 |
| Medicare PECOS PAC ID | 0446529614 |
|---|---|
| Medicare Enrollment ID | O20170630001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871794578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2647 (Minnesota) | Primary |
| Provider Name | Gregory J Dahl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164435517 PECOS PAC ID: 9335272921 Enrollment ID: I20100803000838 |
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