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33 Hamline Ave S, Saint Paul, MN 55105-2231 | |
(651) 690-0866 | |
(651) 690-0031 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 33 Hamline Ave S, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467578518 | NPI | - | NPPES |
4C482-AL | Other | MN | PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | 03221 (Minnesota) | Primary |
Provider Name | Reza Alizadeh |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538214598 PECOS PAC ID: 8224026943 Enrollment ID: I20040503000924 |
Provider Name | Jacob B Dalbec |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1215265335 PECOS PAC ID: 6305981556 Enrollment ID: I20100226000718 |
Provider Name | Alexa Nicole Nichols |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356002463 PECOS PAC ID: 3678959343 Enrollment ID: I20221004000469 |
Provider Name | Corryn Stelflug |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346953627 PECOS PAC ID: 8426429333 Enrollment ID: I20230131002393 |
Mailing Address | Practice Location Address |
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33 Hamline Ave S, Saint Paul, MN 55105-2231 Ph: (651) 690-0866 | 33 Hamline Ave S, Saint Paul, MN 55105-2231 Ph: (651) 690-0866 |