| The Renneke Chiropractic Clinic Pa | |
|
623 Madison St., Brainerd, MN 56401 | |
| (218) 829-5380 | |
| (218) 825-0972 |
| Full Name | The Renneke Chiropractic Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 623 Madison St., Brainerd, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245638584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1572 (Minnesota) | Primary |
| 225100000X | Physical Therapist | 5809 (Minnesota) | Secondary |
| 225200000X | Physical Therapy Assistant | (Minnesota) | Secondary |
| Provider Name | Dean Glenn Renneke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962456541 PECOS PAC ID: 1759343445 Enrollment ID: I20041207000053 |
| Provider Name | Kurtis C Wicklund |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619914744 PECOS PAC ID: 4284646415 Enrollment ID: I20060706000358 |
| Provider Name | Kirsten M Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639152135 PECOS PAC ID: 1850203829 Enrollment ID: I20080513000787 |
| Mailing Address | Practice Location Address |
|---|---|
| The Renneke Chiropractic Clinic Pa 623 Madison St, Brainerd, MN 56401 Ph: (218) 829-5380 | The Renneke Chiropractic Clinic Pa 623 Madison St., Brainerd, MN 56401 Ph: (218) 829-5380 |
Telic Family Chiropractic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19157 Soder Road, Brainerd, MN 56401 Phone: 218-828-4166 Fax: 218-828-4496 | |
Telic Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 19157 Soder Road, Brainerd, MN 56401 Phone: 218-828-4166 Fax: 218-828-4496 | |
Dr. Murray Alden Smith, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15354 Dellwood Dr Ste 110, Brainerd, MN 56401 Phone: 952-807-2613 | |
Dr. Taylor Leigh Gregg, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29 N 1st St, Brainerd, MN 56401 Phone: 218-590-3007 | |
Dr. Nikolas Todd Bohman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29 N 1st Street, Brainerd, MN 56401 Phone: 218-590-3007 | |
Mr. Seth Michael Smart, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 19513 State Highway 371, Brainerd, MN 56401 Phone: 218-963-2944 Fax: 218-963-0899 |