Cornerstone Chiropractic Clinic Llc | |
8470 City Centre Dr Ste D, Woodbury, MN 55125-3356 | |
(651) 571-0726 | |
Not Available |
Full Name | Cornerstone Chiropractic Clinic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 8470 City Centre Dr Ste D, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437518123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 6136 (Minnesota) | Primary |
Provider Name | Tyler James Peterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780042036 PECOS PAC ID: 1355649591 Enrollment ID: I20160421000212 |
Mailing Address | Practice Location Address |
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Cornerstone Chiropractic Clinic Llc 8470 City Centre Dr Ste D, Woodbury, MN 55125-3356 Ph: (651) 571-0726 | Cornerstone Chiropractic Clinic Llc 8470 City Centre Dr Ste D, Woodbury, MN 55125-3356 Ph: (651) 571-0726 |
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