Dr Andreas Ezer, DC | |
3454 Rice St, Saint Paul, MN 55126-3044 | |
(651) 483-4321 | |
Not Available |
Full Name | Dr Andreas Ezer |
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Gender | Male |
Speciality | Chiropractor |
Location | 3454 Rice St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720622806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6664 (Minnesota) | Primary |
Provider Name | Evergreen Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548959737 PECOS PAC ID: 5496107880 Enrollment ID: O20240122002764 |
Mailing Address | Practice Location Address |
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Dr Andreas Ezer, DC 3454 Rice St, Saint Paul, MN 55126-3044 Ph: (651) 483-4321 | Dr Andreas Ezer, DC 3454 Rice St, Saint Paul, MN 55126-3044 Ph: (651) 483-4321 |
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