Essential Chiropractic Sc | |
437 Main St, Red Wing, MN 55066-2324 | |
(651) 388-8113 | |
(651) 388-8114 |
Full Name | Essential Chiropractic Sc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 437 Main St, Red Wing, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013244656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Lindsay M Dietrich |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629309380 PECOS PAC ID: 5193851517 Enrollment ID: I20100324001072 |
Provider Name | Stormie A Reiman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538512686 PECOS PAC ID: 4486923026 Enrollment ID: I20170713000021 |
Mailing Address | Practice Location Address |
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Essential Chiropractic Sc 437 Main St, Red Wing, MN 55066-2324 Ph: (651) 388-8113 | Essential Chiropractic Sc 437 Main St, Red Wing, MN 55066-2324 Ph: (651) 388-8113 |
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