| Northstar Chiropractic & Wellness, P. A. | |
|
670 Humboldt Dr, Big Lake, MN 55309-9407 | |
| (763) 263-8433 | |
| (763) 263-2963 |
| Full Name | Northstar Chiropractic & Wellness, P. A. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 670 Humboldt Dr, Big Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629388533 | NPI | - | NPPES |
| 300463500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3099 (Minnesota) | Primary |
| Provider Name | Nathan E Davidson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760548085 PECOS PAC ID: 4486643376 Enrollment ID: I20101104000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Chiropractic & Wellness, P. A. 670 Humboldt Dr, Po Box 88, Big Lake, MN 55309-9407 Ph: (763) 263-8433 | Northstar Chiropractic & Wellness, P. A. 670 Humboldt Dr, Big Lake, MN 55309-9407 Ph: (763) 263-8433 |
Dr. Chad David Lieser, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 | |
Dr. Christopher James Slice, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 | |
Dr. Gregory Thomas Smock, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 | |
Nathan E. Davidson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 670 Humboldt Drive, Big Lake, MN 55309 Phone: 763-263-8433 Fax: 763-263-2963 | |
Dr. Kevin E. Petersen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 |