Dr Tyler Rau, DC | |
16301 Kenrick Ave, Lakeville, MN 55044-8494 | |
(952) 595-6337 | |
Not Available |
Full Name | Dr Tyler Rau |
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Gender | Male |
Speciality | Chiropractor |
Location | 16301 Kenrick Ave, Lakeville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760948400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6569 (Minnesota) | Primary |
Provider Name | Blue Apple Wellness Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912416249 PECOS PAC ID: 1456613132 Enrollment ID: O20180315002316 |
Mailing Address | Practice Location Address |
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Dr Tyler Rau, DC 16301 Kenrick Ave, Lakeville, MN 55044-8494 Ph: (952) 595-6337 | Dr Tyler Rau, DC 16301 Kenrick Ave, Lakeville, MN 55044-8494 Ph: (952) 595-6337 |
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