Dr Patrick John Rukavina, DC | |
2500 Como Ave, Chiropractic Dept, Saint Paul, MN 55108-1460 | |
(651) 641-6247 | |
Not Available |
Full Name | Dr Patrick John Rukavina |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2500 Como 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 |
---|---|---|---|
1295761187 | NPI | - | NPPES |
226228200 | Medicaid | MN | |
92637 | Other | MN | HEALTHPARTNERS |
231836 | Other | MN | ACN |
227M5RU | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2806 (Minnesota) | Primary |
Provider Name | Group Health Plan Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Dr Patrick John Rukavina, DC 2500 Como Ave, Chiropractic Dept, Saint Paul, MN 55108-1460 Ph: (651) 641-6247 | Dr Patrick John Rukavina, DC 2500 Como Ave, Chiropractic Dept, Saint Paul, MN 55108-1460 Ph: (651) 641-6247 |
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