| Chirocenter Inc. | |
|
1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 | |
| (952) 473-3588 | |
| (952) 697-0752 |
| Full Name | Chirocenter Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1865 W Wayzata Blvd Ste 200, Long Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871025031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2266 (Minnesota) | Primary |
| Provider Name | Megan Marie Pottebaum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487002911 PECOS PAC ID: 5890085351 Enrollment ID: I20160613000958 |
| Provider Name | Morgan Kw Woods |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952675431 PECOS PAC ID: 7315185287 Enrollment ID: I20160819000168 |
| Provider Name | Samantha Rose Rothbauer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932692902 PECOS PAC ID: 3274876990 Enrollment ID: I20190521003168 |
| Provider Name | Michael Schwartz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376584656 PECOS PAC ID: 2567467541 Enrollment ID: I20200410000037 |
| Provider Name | Joshua David Mazurek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508527540 PECOS PAC ID: 2769874205 Enrollment ID: I20220113001424 |
| Mailing Address | Practice Location Address |
|---|---|
| Chirocenter Inc. 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 Ph: (952) 473-3588 | Chirocenter Inc. 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 Ph: (952) 473-3588 |
Dr. Thomas David Ronning, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1850 W Wayzata Blvd, Long Lake, MN 55356 Phone: 952-476-2260 Fax: 952-476-4457 | |
Nicholas Stein, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2399 W Wayzata Blvd Ste 200, Long Lake, MN 55356 Phone: 952-467-2260 | |
Dr. Michael Walter Schwartz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1865 W Wayzata Blvd, Ste 200, Long Lake, MN 55356 Phone: 952-473-3588 Fax: 952-697-0752 | |
Chiropracticusa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1850 W Wayzata Blvd, Long Lake, MN 55356 Phone: 952-476-2260 Fax: 952-476-4457 | |
Dr. Courtney Lynn Pray, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2073 W Wayzata Blvd, Suite 200, Long Lake, MN 55356 Phone: 952-473-3588 | |
Dr. Megan Pottebaum, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1865 W Wayzata Blvd, Ste 200, Long Lake, MN 55356 Phone: 952-473-3588 | |
Align Health & Wellness Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1850 W Wayzata Blvd, Long Lake, MN 55356 Phone: 952-476-2260 Fax: 952-476-4457 |