Danae Hautamaki Pllc | |
105 W Lincoln Ave Fergus Falls MN 56537-2133 | |
(715) 817-3086 | |
Not Available |
Full Name | Danae Hautamaki Pllc |
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Speciality | Clinic/Center |
Location | 105 W Lincoln Ave, Fergus Falls, Minnesota |
Authorized Official Name and Position | Danae Hautamaki (OWNER/CHIROPRACTOR) |
Authorized Official Contact | 7158173086 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Danae Hautamaki Pllc 105 W Lincoln Ave Fergus Falls MN 56537-2133 Ph: (715) 817-3086 | Danae Hautamaki Pllc 105 W Lincoln Ave Fergus Falls MN 56537-2133 Ph: (715) 817-3086 |
NPI Number | 1497095996 |
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Provider Enumeration Date | 02/20/2013 |
Last Update Date | 02/20/2013 |
Medicare PECOS PAC ID | 9638303860 |
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Medicare Enrollment ID | O20131001000608 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497095996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 5734 (Minnesota) | Primary |
Provider Name | Danae J Hautamaki |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619217114 PECOS PAC ID: 0446484679 Enrollment ID: I20131001000622 |
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