Motion Lab Chiropractic Pllc | |
4444 W 76th St, Suite 400, Edina, MN 55435-5173 | |
(612) 963-7844 | |
Not Available |
Full Name | Motion Lab Chiropractic Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4444 W 76th St, 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 |
---|---|---|---|
1598210015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brett D Mortenson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205975620 PECOS PAC ID: 0648352344 Enrollment ID: I20080204000430 |
Mailing Address | Practice Location Address |
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Motion Lab Chiropractic Pllc 4444 W 76th St, Suite 400, Edina, MN 55435-5173 Ph: (612) 963-7844 | Motion Lab Chiropractic Pllc 4444 W 76th St, Suite 400, Edina, MN 55435-5173 Ph: (612) 963-7844 |
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