Tyler Riesgraf, DC | |
14413 Excelsior Blvd, Minnetonka, MN 55345-5821 | |
(952) 746-1506 | |
(952) 746-1508 |
Full Name | Tyler Riesgraf |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 7 Years |
Location | 14413 Excelsior Blvd, Minnetonka, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083129514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6435 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chiropractic And Wellness Center Of Albertville Pllc | 0749468932 | 3 |
Provider Name | Chiropractic And Wellness Center Of Albertville Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770802019 PECOS PAC ID: 0749468932 Enrollment ID: O20110616000435 |
Provider Name | Healthsource Of Minnetonka Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164899795 PECOS PAC ID: 6901114032 Enrollment ID: O20151008002746 |
Mailing Address | Practice Location Address |
---|---|
Tyler Riesgraf, DC 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 Ph: (952) 746-1506 | Tyler Riesgraf, DC 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 Ph: (952) 746-1506 |
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