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NPI Code Detail

MEDICARE: PARK EAST CHIROPRACTIC, PC

MEDICARE: PARK EAST CHIROPRACTIC, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3157MN

General Provider Information

NPI Number : 1285154542
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK EAST CHIROPRACTIC, PC
Provider Business Mailing Address
First Line : 4632 85TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1957
Country : US
Telephone Number : 763-494-4900
Fax Number : 763-494-4902
Provider Business Practice Location Address
First Line : 4632 85TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1957
Country : US
Telephone Number : 763-494-4900
Fax Number : 763-494-4902
Authorized Official
Title or Position : OWNER
Name : DR. TROY FRIESEN
Credential : DC
Telephone Number : 763-494-4900
Provider Enumeration Date : 06/27/2017
Last Update Date : 07/21/2022

Similar Medicare Providers

1366559379 — DR. TROY WILLIAM FRIESEN D.C.
Practice Location Address:
4632 85TH AVE N
BROOKLYN PARK, MN
55443-1957
Practice Phone: 763-494-4900
Practice Fax: 763-494-4902
1346363264 — TROY WILLIAM FRIESEN
Practice Location Address:
4632 85TH AVE N
BROOKLYN PARK, MN
55443-1957
Practice Phone: 763-494-4900
Practice Fax: 763-494-4902
1184169005 — DR. JORDAN BOEKHOUT D.C.
Practice Location Address:
4632 85TH AVE N
BROOKLYN PARK, MN
55443-1957
Practice Phone: 763-494-4900
Practice Fax: 763-494-4902
1568013191 — SIP BROTHERS INC.
Practice Location Address:
4618 85TH AVE N
BROOKLYN PARK, MN
55443-1957
Practice Phone: 612-245-9177
Practice Fax:
1316739691 — QUINNISHA REGINA-NIKI HUNTER
Practice Location Address:
4632 85TH AVE N
BROOKLYN PARK, MN
55443-1957
Practice Phone: 763-494-4900
Practice Fax:
1851256382 — CONNOR REIMER CMT
Practice Location Address:
4632 85TH AVE N
BROOKLYN PARK, MN
55443-1957
Practice Phone: 763-494-4900
Practice Fax: 763-494-4902

Directions to “PARK EAST CHIROPRACTIC, PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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