| Dr Justin B Marty, DC | |
|
7301 Ohms Ln Ste 430, Edina, MN 55439-2376 | |
| (952) 479-0274 | |
| Not Available |
| Full Name | Dr Justin B Marty |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 7301 Ohms Ln Ste 430, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366073827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6697 (Minnesota) | Primary |
| Provider Name | Fond Du Lac Reservation Business Committee |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326053166 PECOS PAC ID: 6608775879 Enrollment ID: O20040107000308 |
| Provider Name | Leno Chiropractic Clinic Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306144100 PECOS PAC ID: 0648454744 Enrollment ID: O20110414000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin B Marty, DC 3531 Virginia Ave N, New Hope, MN 55427-1968 Ph: (320) 282-3825 | Dr Justin B Marty, DC 7301 Ohms Ln Ste 430, Edina, MN 55439-2376 Ph: (952) 479-0274 |
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