Dr Dakota Aric Wilcox, DC | |
966 Allen Ave, Saint Paul, MN 55118-1312 | |
(920) 229-0870 | |
Not Available |
Full Name | Dr Dakota Aric Wilcox |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 966 Allen Ave, 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 |
---|---|---|---|
1003522038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 7059 (Minnesota) | Secondary |
111N00000X | Chiropractor | 6048-12 (Wisconsin) | Primary |
Provider Name | Hope Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881764900 PECOS PAC ID: 4688672009 Enrollment ID: O20061120000251 |
Mailing Address | Practice Location Address |
---|---|
Dr Dakota Aric Wilcox, DC 966 Allen Ave, Saint Paul, MN 55118-1312 Ph: (920) 229-0870 | Dr Dakota Aric Wilcox, DC 966 Allen Ave, Saint Paul, MN 55118-1312 Ph: (920) 229-0870 |
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