Erik Donald Waldeland, DC | |
1660 Highway 100 S, St Louis Park, MN 55416-1529 | |
(952) 500-8477 | |
Not Available |
Full Name | Erik Donald Waldeland |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 4 Years |
Location | 1660 Highway 100 S, St Louis Park, 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 |
---|---|---|---|
1972125581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6735 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West End Chiropractic And Wellness Pa | 4385801299 | 4 |
Provider Name | West End Chiropractic And Wellness Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578849428 PECOS PAC ID: 4385801299 Enrollment ID: O20200701002399 |
Mailing Address | Practice Location Address |
---|---|
Erik Donald Waldeland, DC 17477 Weaver Lake Dr, Maple Grove, MN 55311-1444 Ph: (763) 226-3065 | Erik Donald Waldeland, DC 1660 Highway 100 S, St Louis Park, MN 55416-1529 Ph: (952) 500-8477 |
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