| South Lake Chiropractic Pllc | |
|
24000 Highway 7, Suite 215, Excelsior, MN 55331-2939 | |
| (952) 474-2395 | |
| (952) 401-1690 |
| Full Name | South Lake Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 24000 Highway 7, Excelsior, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447630223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3950998 (Minnesota) | Primary |
| Provider Name | Michael J Isaacson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487647137 PECOS PAC ID: 7416973318 Enrollment ID: I20051020000288 |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Chiropractic Pllc 24000 Highway 7, Suite 215, Excelsior, MN 55331-2939 Ph: (952) 474-2395 | South Lake Chiropractic Pllc 24000 Highway 7, Suite 215, Excelsior, MN 55331-2939 Ph: (952) 474-2395 |
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 |