| Healthsource Of Minnetonka Llc | |
|
14413 Excelsior Blvd, Minnetonka, MN 55345-5821 | |
| (952) 746-1506 | |
| Not Available |
| Full Name | Healthsource Of Minnetonka Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 14413 Excelsior Blvd, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164899795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5624 (Minnesota) | Primary |
| Provider Name | Derek S Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770884546 PECOS PAC ID: 4688835978 Enrollment ID: I20120413000007 |
| Provider Name | Tyler James Riesgraf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083129514 PECOS PAC ID: 4789943317 Enrollment ID: I20180105000389 |
| Provider Name | Julie Marie Hauring |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659879260 PECOS PAC ID: 3779820444 Enrollment ID: I20190204001645 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Minnetonka Llc 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 Ph: () - | Healthsource Of Minnetonka Llc 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 Ph: (952) 746-1506 |
Conscious Living Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1730 Plymouth Rd Ste 300, Minnetonka, MN 55305 Phone: 952-300-2387 Fax: 952-300-2386 | |
Dr. Crystal A Pfisterer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5509 Eden Prairie Rd, Minnetonka, MN 55345 Phone: 952-446-7177 Fax: 952-843-5650 | |
Dr. Jason Paul Strandberg, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1700 Plymouth Rd Apt 417, Minnetonka, MN 55305 Phone: 612-306-5691 Fax: 612-235-7918 | |
Back In Line Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 11500 Highway 7, Suite 201, Minnetonka, MN 55305 Phone: 952-933-2663 Fax: 952-933-2673 | |
Peak Performance Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4739 County Road 101, Minnetonka, MN 55345 Phone: 952-641-0207 Fax: 952-933-2763 | |
Thrive Chiropractic, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 14525 Highway 7, Suite 115, Minnetonka, MN 55345 Phone: 952-746-5612 Fax: 952-229-4153 | |
Dr. Matthew Vradenburg, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 11500 Wayzata Blvd Pmb 1025, Minnetonka, MN 55305 Phone: 763-260-1469 |