Dr James Bradley Dietz, DC | |
360 Sherman St Ste 400, Saint Paul, MN 55102 | |
(651) 225-1102 | |
(612) 977-1208 |
Full Name | Dr James Bradley Dietz |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 9 Years |
Location | 360 Sherman St Ste 400, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881057651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6194 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lighthouse Chiropractic Health Center, Inc | 5890795454 | 2 |
Provider Name | Lakes Area Health Center Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467403030 PECOS PAC ID: 9234179664 Enrollment ID: O20050909000741 |
Provider Name | Lighthouse Chiropractic Health Center, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487721684 PECOS PAC ID: 5890795454 Enrollment ID: O20070104000141 |
Mailing Address | Practice Location Address |
---|---|
Dr James Bradley Dietz, DC 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 Ph: (651) 225-1102 | Dr James Bradley Dietz, DC 360 Sherman St Ste 400, Saint Paul, MN 55102 Ph: (651) 225-1102 |
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