Precision Chiropractic & Wellness, Pllc | |
3515 Plymouth Blvd Ste 206, Plymouth, MN 55447-1382 | |
(763) 475-8281 | |
Not Available |
Full Name | Precision Chiropractic & Wellness, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3515 Plymouth Blvd Ste 206, 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 |
---|---|---|---|
1962693747 | NPI | - | NPPES |
2513935-00 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4169 (Minnesota) | Primary |
Provider Name | James R Ciavarella |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437372802 PECOS PAC ID: 5496773624 Enrollment ID: I20051107000556 |
Provider Name | Tanner James Bedard |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487361259 PECOS PAC ID: 9133598212 Enrollment ID: I20221212002811 |
Mailing Address | Practice Location Address |
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Precision Chiropractic & Wellness, Pllc 3515 Plymouth Blvd Ste 206, Plymouth, MN 55447-1382 Ph: () - | Precision Chiropractic & Wellness, Pllc 3515 Plymouth Blvd Ste 206, Plymouth, MN 55447-1382 Ph: (763) 475-8281 |
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