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304 10th St N, Mountain Lake, MN 56159-1591 | |
(507) 427-3878 | |
(507) 427-3531 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 304 10th St N, Mountain 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 |
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1891335790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Phillip M Skow |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538279070 PECOS PAC ID: 9133215486 Enrollment ID: I20071017000713 |
Mailing Address | Practice Location Address |
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Po Box 317, Mountain Lake, MN 56159-0317 Ph: (507) 427-3878 | 304 10th St N, Mountain Lake, MN 56159-1591 Ph: (507) 427-3878 |
Phillip M Skow, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 304 10th St N, Mountain Lake, MN 56159 Phone: 507-427-3878 Fax: 507-427-3531 |