| Tysdal Chiropractic Llc | |
|
17116 River Oaks Blvd, Fergus Falls, MN 56537-7623 | |
| (218) 205-8194 | |
| Not Available |
| Full Name | Tysdal Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17116 River Oaks Blvd, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730455122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5343 (Minnesota) | Primary |
| Provider Name | Zackary A Tysdal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437489648 PECOS PAC ID: 6103953500 Enrollment ID: I20100415000917 |
| Provider Name | Dean Simon Erlandson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154833127 PECOS PAC ID: 5799045001 Enrollment ID: I20180207000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Tysdal Chiropractic Llc 17116 River Oaks Blvd, Fergus Falls, MN 56537-7623 Ph: (218) 205-8194 | Tysdal Chiropractic Llc 17116 River Oaks Blvd, Fergus Falls, MN 56537-7623 Ph: (218) 205-8194 |
Advanced Care Chirocenter Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 801 Pebble Lake Rd, Fergus Falls, MN 56537 Phone: 218-736-7547 Fax: 218-736-7548 | |
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