| Life Clinic Of Ia Pc | |
|
11911 Hickman Rd, Urbandale, IA 50323-1814 | |
| (612) 868-6894 | |
| Not Available |
| Full Name | Life Clinic Of Ia Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11911 Hickman Rd, Urbandale, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225727704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Tanner Michael Hemer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932830627 PECOS PAC ID: 0547649188 Enrollment ID: I20220628001250 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Clinic Of Ia Pc Po Box 549, Chanhassen, MN 55317-0549 Ph: () - | Life Clinic Of Ia Pc 11911 Hickman Rd, Urbandale, IA 50323-1814 Ph: (612) 868-6894 |
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