Excelsior And Grand Chiropractic | |
5605 W 36th St Ste 100c, St Louis Park, MN 55416-2599 | |
(952) 920-9247 | |
(952) 922-3480 |
Full Name | Excelsior And Grand Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 5605 W 36th St Ste 100c, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932691714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Heather M Flatgard |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609371525 PECOS PAC ID: 1254688955 Enrollment ID: I20180726002346 |
Mailing Address | Practice Location Address |
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Excelsior And Grand Chiropractic 7500 Highway 7 Apt 452, St Louis Park, MN 55426-4153 Ph: () - | Excelsior And Grand Chiropractic 5605 W 36th St Ste 100c, St Louis Park, MN 55416-2599 Ph: (952) 920-9247 |
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