Midway Chiropractic And Health Services Pa | |
1919 University Ave W, Suite 105, Saint Paul, MN 55104-3453 | |
(651) 644-7207 | |
(651) 644-6653 |
Full Name | Midway Chiropractic And Health Services Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 1919 University Ave W, Saint Paul, 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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1912195124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Minnesota) | Primary |
Provider Name | Christopher S Lilja |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1073685848 PECOS PAC ID: 3476603176 Enrollment ID: I20130708000794 |
Mailing Address | Practice Location Address |
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Midway Chiropractic And Health Services Pa 1919 University Ave W, Suite 105, Saint Paul, MN 55104-3453 Ph: (651) 644-7207 | Midway Chiropractic And Health Services Pa 1919 University Ave W, Suite 105, Saint Paul, MN 55104-3453 Ph: (651) 644-7207 |
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