Northern Edge Chiropractic Llc | |
5480 Nathan Ln N Ste 102, Plymouth, MN 55442-1995 | |
(763) 316-5252 | |
Not Available |
Full Name | Northern Edge Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 5480 Nathan Ln N Ste 102, Plymouth, 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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1033521927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5858 (Minnesota) | Primary |
Provider Name | Nicholas Robert Curry |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174940936 PECOS PAC ID: 1254554652 Enrollment ID: I20140603000185 |
Provider Name | Mitchell Alan Brecke |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083031843 PECOS PAC ID: 9234352634 Enrollment ID: I20140616000994 |
Mailing Address | Practice Location Address |
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Northern Edge Chiropractic Llc 5480 Nathan Ln N Ste 102, Plymouth, MN 55442-1995 Ph: () - | Northern Edge Chiropractic Llc 5480 Nathan Ln N Ste 102, Plymouth, MN 55442-1995 Ph: (763) 316-5252 |
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