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5201 Eden Ave, Suite 190, Edina, MN 55436-2316 | |
| (952) 920-9721 | |
| (952) 241-4355 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5201 Eden Ave, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588611438 | NPI | - | NPPES |
| 021527900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1566 (Minnesota) | Primary |
| Provider Name | Megan Marie Wall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356766760 PECOS PAC ID: 9537383641 Enrollment ID: I20140611001430 |
| Provider Name | Rachael T Goddard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851027833 PECOS PAC ID: 2961887302 Enrollment ID: I20220921000393 |
| Provider Name | Tessa Caitlin Haggstrom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205546033 PECOS PAC ID: 7113396805 Enrollment ID: I20221220002326 |
| Mailing Address | Practice Location Address |
|---|---|
5201 Eden Ave, Suite 190, Edina, MN 55436-2316 Ph: (952) 920-9721 | 5201 Eden Ave, Suite 190, Edina, MN 55436-2316 Ph: (952) 920-9721 |
Dr. Ryan Robert Fischer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3300 Edinborough Way, Suite 108, Edina, MN 55435 Phone: 920-915-3913 | |
Romanie Health Services, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5325 W 74th St Ste 9, Edina, MN 55439 Phone: 952-835-6653 Fax: 952-835-3895 | |
Integrated Provider Group Of Minnesota Chiropractor Medicare: Medicare Enrolled Practice Location: 7373 France Ave S, Edina, MN 55435 Phone: 877-414-2533 | |
Dr. Davis Bates, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd Ste 222, Edina, MN 55439 Phone: 952-207-2186 | |
Amelia Marie Prideaux, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3948 W 50th St Ste 203, Edina, MN 55424 Phone: 952-920-4528 | |
Natalie Schumacher, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4820 77th St W Ste 150, Edina, MN 55435 Phone: 952-213-6386 Fax: 952-206-6486 |