Evergreen Chiropractic | |
3454 Rice St, Saint Paul, MN 55126-3044 | |
(651) 483-4321 | |
Not Available |
Full Name | Evergreen Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 3454 Rice St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548959737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Andreas B Ezer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720622806 PECOS PAC ID: 7315370665 Enrollment ID: I20191127001866 |
Provider Name | Maya A Ezer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306483052 PECOS PAC ID: 1759708647 Enrollment ID: I20200824001226 |
Mailing Address | Practice Location Address |
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Evergreen Chiropractic 3454 Rice St, Saint Paul, MN 55126-3044 Ph: () - | Evergreen Chiropractic 3454 Rice St, Saint Paul, MN 55126-3044 Ph: (651) 483-4321 |
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