Lake West Chiropractic And Natural Health, Pa | |
4190 Vinewood Ln N, Suite 121, Plymouth, MN 55442-1735 | |
(763) 550-1205 | |
(763) 550-9857 |
Full Name | Lake West Chiropractic And Natural Health, Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 4190 Vinewood Ln N, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659419018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jeffrey A Wock |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982742318 PECOS PAC ID: 8224060827 Enrollment ID: I20050902000721 |
Mailing Address | Practice Location Address |
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Lake West Chiropractic And Natural Health, Pa 4190 Vinewood Ln N, Suite 121, Plymouth, MN 55442-1735 Ph: (763) 550-1205 | Lake West Chiropractic And Natural Health, Pa 4190 Vinewood Ln N, Suite 121, Plymouth, MN 55442-1735 Ph: (763) 550-1205 |
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