| Healthmax Progressive Medicine | |
|
7060 Valley Creek Plz Ste 121 Woodbury MN 55125-2269 | |
| (651) 735-8646 | |
| (651) 730-9210 |
| Full Name | Healthmax Progressive Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 7060 Valley Creek Plz Ste 121, Woodbury, Minnesota |
| Authorized Official Name and Position | Christopher Thomas Drews (PRESIDENT) |
| Authorized Official Contact | 6517358646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthmax Progressive Medicine 7060 Valley Creek Plz Ste 121 Woodbury MN 55125-2269 Ph: (651) 735-8646 | Healthmax Progressive Medicine 7060 Valley Creek Plz Ste 121 Woodbury MN 55125-2269 Ph: (651) 735-8646 |
| NPI Number | 1407337629 |
|---|---|
| Provider Enumeration Date | 08/25/2018 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 3375894132 |
|---|---|
| Medicare Enrollment ID | O20180928000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407337629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Christopher Thomas Drews |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467518373 PECOS PAC ID: 8224073135 Enrollment ID: I20050622000189 |
| Provider Name | Nathan Andrew Milender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699104711 PECOS PAC ID: 1254568470 Enrollment ID: I20131216000416 |
| Provider Name | Nancy Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164863155 PECOS PAC ID: 7719119460 Enrollment ID: I20140410001268 |
| Provider Name | Heidi Ann Robertson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568663797 PECOS PAC ID: 2264325331 Enrollment ID: I20141010000143 |
| Provider Name | Joshua Timothy Kasper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376022384 PECOS PAC ID: 4880945914 Enrollment ID: I20180928000200 |
| Provider Name | Olamide Enitan Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518526458 PECOS PAC ID: 0749511939 Enrollment ID: I20191021001160 |
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