Wellness Way St Cloud Llc | |
3400 1st St N Ste 105, Saint Cloud, MN 56303-1924 | |
(320) 774-1355 | |
Not Available |
Full Name | Wellness Way St Cloud Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3400 1st St N Ste 105, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437884905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Adam Wagner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477941151 PECOS PAC ID: 3577946060 Enrollment ID: I20220816002328 |
Mailing Address | Practice Location Address |
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Wellness Way St Cloud Llc 3400 1st St N Ste 105, Saint Cloud, MN 56303-1924 Ph: (320) 774-1355 | Wellness Way St Cloud Llc 3400 1st St N Ste 105, Saint Cloud, MN 56303-1924 Ph: (320) 774-1355 |
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