| North Maple Grove Chiropractic | |
|
9505 Blackoaks Ln No., Maple Grove, MN 55311 | |
| (763) 420-4111 | |
| (763) 420-4145 |
| Full Name | North Maple Grove Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9505 Blackoaks Ln No., Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144634395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1764 (Minnesota) | Primary |
| 111N00000X | Chiropractor | 5767 (Minnesota) | Secondary |
| Provider Name | John William Petersen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720110737 PECOS PAC ID: 1456411388 Enrollment ID: I20081121000123 |
| Provider Name | Gregory J Petersen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851631907 PECOS PAC ID: 6507090024 Enrollment ID: I20131016000053 |
| Mailing Address | Practice Location Address |
|---|---|
| North Maple Grove Chiropractic 9505 Blackoaks Ln No, Maple Grove, MN 55311 Ph: (763) 420-4111 | North Maple Grove Chiropractic 9505 Blackoaks Ln No., Maple Grove, MN 55311 Ph: (763) 420-4111 |
Dr. Andrew Robert Coulson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13800 83rd Way N, Suite 108, Maple Grove, MN 55369 Phone: 763-494-0828 Fax: 763-494-0856 | |
Warren D Hildreth, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6774 Queensland Ln N, Maple Grove, MN 55311 Phone: 763-773-3109 | |
Waypoint Minnesota Sports Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9325 Upland Ln N, Suite 230, Maple Grove, MN 55369 Phone: 763-315-0466 | |
Conscious Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13786 Reimer Dr N, Maple Grove, MN 55311 Phone: 763-337-4543 | |
Trillium Chiropractic & Wellness Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 Phone: 763-420-2226 | |
Mr. James Kent Nord, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16334 County Rd 30, Maple Grove, MN 55311 Phone: 763-416-1799 Fax: 763-416-1949 | |
Shane A. Boroditsky, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 12000 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 612-281-3575 Fax: 612-605-8257 |