Dr Joshua Alan Dietze, DC | |
31095 Berquist Dr, Pequot Lakes, MN 56472-5647 | |
(218) 568-7767 | |
Not Available |
Full Name | Dr Joshua Alan Dietze |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 11 Years |
Location | 31095 Berquist Dr, Pequot Lakes, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467874941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4951-12 (Wisconsin) | Secondary |
111N00000X | Chiropractor | 6714 (Minnesota) | Primary |
Provider Name | Pequot Lakes Chiropractic Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417540774 PECOS PAC ID: 8527474329 Enrollment ID: O20210302002194 |
Mailing Address | Practice Location Address |
---|---|
Dr Joshua Alan Dietze, DC Po Box 281, Pequot Lakes, MN 56472-0281 Ph: (218) 568-7767 | Dr Joshua Alan Dietze, DC 31095 Berquist Dr, Pequot Lakes, MN 56472-5647 Ph: (218) 568-7767 |
Dr. Justin Curtis Gronholz, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 31108 Government Dr, Pequot Lakes, MN 56472 Phone: 218-568-5648 Fax: 218-568-5698 | |
Dr. Ryan Dennis Buell, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31095 Bergquist Drive, Pequot Lakes, MN 56472 Phone: 218-568-7767 Fax: 218-568-4580 | |
Pequot Lakes Chiropractic And Sports Injury Center P.a Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31095 Bergquist Drive, Pequot Lakes, MN 56472 Phone: 218-568-7767 Fax: 218-568-4580 | |
Dr. Nadine Indihar, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31170 Government Dr, Pequot Lakes, MN 56472 Phone: 218-568-5648 | |
Pequot Lakes Chiropractic Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 31095 Berquist Dr, Pequot Lakes, MN 56472 Phone: 218-568-7767 Fax: 218-568-4580 | |
Hopkins Health And Wellness Lakes Area Chiropractor Medicare: Medicare Enrolled Practice Location: 31108 Government Dr, Suite 108, Pequot Lakes, MN 56472 Phone: 218-568-5648 Fax: 218-568-5698 |