Live Well Adjusted, P.a. | |
7803 Afton Rd Ste 2, Woodbury, MN 55125-1507 | |
(651) 261-5020 | |
Not Available |
Full Name | Live Well Adjusted, P.a. |
---|---|
Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 7803 Afton Rd Ste 2, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447853585 | NPI | - | NPPES |
7096887 | Other | MN | MINNESOTA REGISTRATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Primary |
Provider Name | David D Peterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841398336 PECOS PAC ID: 2769586429 Enrollment ID: I20070406000053 |
Mailing Address | Practice Location Address |
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Live Well Adjusted, P.a. 7803 Afton Rd Ste 2, Woodbury, MN 55125-1507 Ph: (651) 261-5020 | Live Well Adjusted, P.a. 7803 Afton Rd Ste 2, Woodbury, MN 55125-1507 Ph: (651) 261-5020 |
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Dr. Jeffrey John Wisdo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7060 Valley Creek Plz, #121, Woodbury, MN 55125 Phone: 651-735-8646 Fax: 651-730-9210 |