Cynthia Susanna Vansickler, DC | |
9202 202nd St W, Suite 203, Lakeville, MN 55044-7915 | |
(952) 469-8385 | |
Not Available |
Full Name | Cynthia Susanna Vansickler |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 12 Years |
Location | 9202 202nd St W, Lakeville, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235495615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5646 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Function First Spine And Sport, Pllc | 1557760683 | 2 |
Provider Name | Calisesi Chiropractic Clinic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255738266 PECOS PAC ID: 0648593889 Enrollment ID: O20141219001563 |
Provider Name | Function First Spine And Sport, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407420664 PECOS PAC ID: 1557760683 Enrollment ID: O20210524000077 |
Mailing Address | Practice Location Address |
---|---|
Cynthia Susanna Vansickler, DC 725 2nd St Nw, Faribault, MN 55021-5065 Ph: (515) 570-7695 | Cynthia Susanna Vansickler, DC 9202 202nd St W, Suite 203, Lakeville, MN 55044-7915 Ph: (952) 469-8385 |
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