| Normandale Chiropractic Health Center | |
|
10607 France Ave S Bloomington MN 55431-3539 | |
| (952) 881-5703 | |
| (952) 881-6871 |
| Full Name | Normandale Chiropractic Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10607 France Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Matthew James Anderson (PRESIDENT) |
| Authorized Official Contact | 9528815703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Normandale Chiropractic Health Center 10607 France Ave S Bloomington MN 55431-3539 Ph: (952) 881-5703 | Normandale Chiropractic Health Center 10607 France Ave S Bloomington MN 55431-3539 Ph: (952) 881-5703 |
| NPI Number | 1780750034 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/07/2012 |
| Medicare PECOS PAC ID | 7719887165 |
|---|---|
| Medicare Enrollment ID | O20040112000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780750034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2928 (Minnesota) | Primary |
| Provider Name | Matthew J Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891734380 PECOS PAC ID: 4183525827 Enrollment ID: I20040119000128 |
| Provider Name | Michael J Bawek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043213218 PECOS PAC ID: 7618878083 Enrollment ID: I20040119000159 |
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