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123 Lafayette Ave Sw, Eyota, MN 55934-6507 | |
(608) 797-8138 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor - Nutrition |
Location | 123 Lafayette Ave Sw, Eyota, 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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1568925097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NN1001X | Chiropractor - Nutrition | (* (Not Available)) | Primary |
Provider Name | Mark William Westphal |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1760848576 PECOS PAC ID: 8325341720 Enrollment ID: I20190517000027 |
Mailing Address | Practice Location Address |
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Po Box 57, Eyota, MN 55934-0057 Ph: (507) 585-0528 | 123 Lafayette Ave Sw, Eyota, MN 55934-6507 Ph: (608) 797-8138 |
Dr. Mark Westphal, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 123 Lafayette Ave Sw, Eyota, MN 55934 Phone: 507-585-0528 |