Dr Ryan William Waddell, DC | |
10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 | |
(763) 400-4940 | |
Not Available |
Full Name | Dr Ryan William Waddell |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 10 Years |
Location | 10995 Club West Pkwy Ste 400, Blaine, 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 |
---|---|---|---|
1063800704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6017 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Club West Chiropractic, Pa | 7416310610 | 3 |
Provider Name | Lindstrom Chiropractic Center, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043548951 PECOS PAC ID: 5395871115 Enrollment ID: O20100331000946 |
Provider Name | Club West Chiropractic, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427447432 PECOS PAC ID: 7416310610 Enrollment ID: O20230905002557 |
Mailing Address | Practice Location Address |
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Dr Ryan William Waddell, DC 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 Ph: (763) 400-4940 | Dr Ryan William Waddell, DC 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 Ph: (763) 400-4940 |
Dr. Rebecca R Jackson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12203 Aberdeen St Ne Ste 140, Blaine, MN 55449 Phone: 763-785-4120 Fax: 763-785-4172 | |
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