Dr Chad David Lieser, DC | |
29 Lake St S, Big Lake, MN 55309-4588 | |
(763) 263-3470 | |
(763) 263-5900 |
Full Name | Dr Chad David Lieser |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 29 Lake St S, Big Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457539827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5418 (Colorado) | Secondary |
111N00000X | Chiropractor | 4288 (Minnesota) | Primary |
Provider Name | Chirocare Of Florida, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205260965 PECOS PAC ID: 2062647910 Enrollment ID: O20131030000857 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad David Lieser, DC Po Box 277, 29 Lake St. S., Big Lake, MN 55309-0277 Ph: (763) 263-3470 | Dr Chad David Lieser, DC 29 Lake St S, Big Lake, MN 55309-4588 Ph: (763) 263-3470 |
Dr. Christopher James Slice, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 | |
Northstar Chiropractic & Wellness, P. A. Chiropractor Medicare: Medicare Enrolled Practice Location: 670 Humboldt Dr, Big Lake, MN 55309 Phone: 763-263-8433 Fax: 763-263-2963 | |
Dr. Gregory Thomas Smock, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 | |
Nathan E. Davidson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 670 Humboldt Drive, Big Lake, MN 55309 Phone: 763-263-8433 Fax: 763-263-2963 | |
Dr. Kevin E. Petersen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 |