Northwoods Chiropractic P. A. | |
13743 E Shore Rd, Crosslake, MN 56442-4033 | |
(218) 692-1616 | |
(218) 692-1626 |
Full Name | Northwoods Chiropractic P. A. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 13743 E Shore Rd, Crosslake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477610194 | NPI | - | NPPES |
68D24NO | Other | MN | BCBS OFFICE ID # |
68D25PE | Other | MN | BCBS INDIVIDUAL ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3138 (Minnesota) | Primary |
Provider Name | Anicia G Peterson |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003973702 PECOS PAC ID: 8325149560 Enrollment ID: I20070718000589 |
Mailing Address | Practice Location Address |
---|---|
Northwoods Chiropractic P. A. 13743 E Shore Rd, Crosslake, MN 56442-4033 Ph: (218) 692-1616 | Northwoods Chiropractic P. A. 13743 E Shore Rd, Crosslake, MN 56442-4033 Ph: (218) 692-1616 |
Dr. Anicia Gwen Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13743 E Shore Rd, Crosslake, MN 56442 Phone: 218-692-1616 Fax: 218-692-1626 | |
Wellnessone Of Crosslake Chiropractor Medicare: Medicare Enrolled Practice Location: 35272 County Road 3, Crosslake, MN 56442 Phone: 218-692-3700 Fax: 218-692-3700 |