| Wildwood Chiropractic Center Pa | |
|
935 Wildwood Rd, White Bear Lake, MN 55115-1847 | |
| (651) 779-4263 | |
| (651) 779-4274 |
| Full Name | Wildwood Chiropractic Center Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 935 Wildwood Rd, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306827118 | NPI | - | NPPES |
| 4261 | Other | MN | JOHN MACK LICENSE |
| 047 828 800 | Medicaid | MN | |
| 3150 | Other | MN | SCOTT DEPAULIS LICENSE |
| 354 278 500 | Medicaid | MN | |
| 367 817 200 | Medicaid | MN | |
| 549 027 800 | Medicaid | MN | |
| 2329 | Other | MN | PATRICK G NAPOLI LICENSE |
| 3051 | Other | MN | DEAN JOY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Minnesota) | Primary |
| Provider Name | Patrick G Napoli |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215074265 PECOS PAC ID: 5395889703 Enrollment ID: I20100306000344 |
| Provider Name | Chad C Watters |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558668871 PECOS PAC ID: 4082915715 Enrollment ID: I20151222000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Chiropractic Center Pa 935 Wildwood Rd, White Bear Lake, MN 55115-1847 Ph: (651) 779-4263 | Wildwood Chiropractic Center Pa 935 Wildwood Rd, White Bear Lake, MN 55115-1847 Ph: (651) 779-4263 |
Healthsource Of White Bear Lake, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 4801 Highway 61 N, 105, White Bear Lake, MN 55110 Phone: 651-762-5433 Fax: 651-762-7504 | |
Helix Chiropractic Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 4719 Banning Ave, White Bear Lake, MN 55110 Phone: 651-429-2279 Fax: 651-429-2361 | |
Barr Family Chiropractic & Sports Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4719 Banning Ave, White Bear Lake, MN 55110 Phone: 651-429-2279 | |
For Your Well Being Chiropractic, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2479 County Road E E, White Bear Lake, MN 55110 Phone: 651-770-5433 | |
Quast Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3607 White Bear Ave N, White Bear Lake, MN 55110 Phone: 651-777-2225 | |
Lux Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 118, White Bear Lake, MN 55110 Phone: 651-483-0140 | |
Linnea Kay Soular, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4886 Highway 61 N, Suite 201, White Bear Lake, MN 55110 Phone: 651-762-4757 Fax: 651-762-2731 |