Legacy Chiropractic And Wellness Pllc | |
1675 Center Ave W, Suite B, Dilworth, MN 56529-1346 | |
(218) 236-1187 | |
(218) 236-8514 |
Full Name | Legacy Chiropractic And Wellness Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1675 Center Ave W, Dilworth, 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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1285178301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 6294 (Minnesota) | Primary |
Provider Name | Broderick J Schmidt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780128132 PECOS PAC ID: 7315221116 Enrollment ID: I20170221001971 |
Mailing Address | Practice Location Address |
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Legacy Chiropractic And Wellness Pllc 1675 Center Ave W, Suite B, Dilworth, MN 56529-1346 Ph: (218) 236-1187 | Legacy Chiropractic And Wellness Pllc 1675 Center Ave W, Suite B, Dilworth, MN 56529-1346 Ph: (218) 236-1187 |
Dr. Broderick Schmidt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1675 Center Ave W, Suite B, Dilworth, MN 56529 Phone: 218-236-1187 Fax: 218-236-8514 | |
David James Kreps, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1675 Highway 10 West, Suite B, Dilworth, MN 56529 Phone: 218-236-1187 Fax: 218-236-8514 |