| Sweere Clinic Llc | |
|
2501 W 84th St Bloomington MN 55431-1602 | |
| (952) 885-5444 | |
| Not Available |
| Full Name | Sweere Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2501 W 84th St, Bloomington, Minnesota |
| Authorized Official Name and Position | Michael R Tennison (VP OF CLINICS AND RETAIL) |
| Authorized Official Contact | 9528855441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweere Clinic Llc 2501 W 84th St Bloomington MN 55431-1602 Ph: (952) 885-5444 | Sweere Clinic Llc 2501 W 84th St Bloomington MN 55431-1602 Ph: (952) 885-5444 |
| NPI Number | 1942778097 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 0042601387 |
|---|---|
| Medicare Enrollment ID | O20211222000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942778097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gregory Scott Denunzio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992845390 PECOS PAC ID: 5799675484 Enrollment ID: I20040317000477 |
| Provider Name | David R Geary |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093807265 PECOS PAC ID: 7113092479 Enrollment ID: I20080820000772 |
| Provider Name | Kerry L Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578640694 PECOS PAC ID: 4981699121 Enrollment ID: I20100929001533 |
| Provider Name | Michael P Hennes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528478336 PECOS PAC ID: 2062636459 Enrollment ID: I20140604001134 |
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