Phillip Mark Marty, DC | |
464 Second Street, Ste 200, Excelsior, MN 55331 | |
(952) 474-4121 | |
(952) 474-8391 |
Full Name | Phillip Mark Marty |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 464 Second Street, Excelsior, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275547689 | NPI | - | NPPES |
1D866MA | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2470 (Minnesota) | Primary |
Provider Name | Marty Chiropractic-excelsior Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003830787 PECOS PAC ID: 4486645736 Enrollment ID: O20040524001112 |
Mailing Address | Practice Location Address |
---|---|
Phillip Mark Marty, DC 464 Second Street, Ste 200, Excelsior, MN 55331 Ph: (952) 474-4121 | Phillip Mark Marty, DC 464 Second Street, Ste 200, Excelsior, MN 55331 Ph: (952) 474-4121 |
Davis Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6140 Lake Linden Dr, Suite 100, Excelsior, MN 55331 Phone: 952-474-0886 | |
Marty Chiropractic-excelsior Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 464 Second Street, Suite 200, Excelsior, MN 55331 Phone: 952-474-4121 Fax: 952-474-8391 | |
Rory Faherty, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 24000 Highway 7 Ste 215, Excelsior, MN 55331 Phone: 952-474-2395 | |
Health Source Shorewood Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6140 Lake Linden Dr, Suite 100, Excelsior, MN 55331 Phone: 952-474-0886 | |
Timothy Guerre, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23505 Smithtown Rd, Excelsior, MN 55331 Phone: 952-470-8555 Fax: 952-401-8785 | |
Dr. William Joseph Grigg, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23505 Smithtown Rd Ste 100, Excelsior, MN 55331 Phone: 952-470-8555 Fax: 952-401-8785 | |
Vine Hill Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19285 Highway 7, Suite 3, Excelsior, MN 55331 Phone: 952-473-3366 |