| Metrocenter Chiropractic Pa | |
|
825 Nicollet Mall Suite #1845, Metrocenter Chiropractic Pa, Minneapolis, MN 55402 | |
| (612) 332-8292 | |
| (612) 332-5972 |
| Full Name | Metrocenter Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 825 Nicollet Mall Suite #1845, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871760884 | NPI | - | NPPES |
| 055215100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3167 (Minnesota) | Primary |
| 111N00000X | Chiropractor | 4790 (Minnesota) | Secondary |
| Provider Name | Mark A Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063418077 PECOS PAC ID: 3678642386 Enrollment ID: I20080521000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Metrocenter Chiropractic Pa 825 Nicollet Mall Suite #1845, Minneapolis, MN 55402 Ph: (612) 332-8292 | Metrocenter Chiropractic Pa 825 Nicollet Mall Suite #1845, Metrocenter Chiropractic Pa, Minneapolis, MN 55402 Ph: (612) 332-8292 |
Dr. Taylor Meyers, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2837 Lyndale Ave S, Minneapolis, MN 55408 Phone: 612-872-9596 | |
Minneapolis Health & Wellness Ne, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 Phone: 952-237-8549 | |
Dr. James A Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2903 E 42nd St, Minneapolis, MN 55406 Phone: 612-722-2147 | |
Dr. Ryne D Devries, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4847 Chicago Ave, Ste 10, Minneapolis, MN 55407 Phone: 612-492-1961 | |
Dr. Nichole Alexandra Borell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5536 Chicago Ave, Minneapolis, MN 55417 Phone: 612-827-0657 Fax: 612-827-3102 | |
Cynthia Heiserman, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3511 Emerson Avenue North, Minneapolis, MN 55412 Phone: 612-529-2218 | |
Dr. Kristi Lea Zimmerman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2751 Hennepin Ave, Suite 311, Minneapolis, MN 55408 Phone: 612-382-6343 |