MEDICARE: DR. MARTIN ROBERT VON IDERSTINE

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
1	111NX0800X	Orthopedic Chiropractor		MN

General Provider Information

NPI Number	:	1457357626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN ROBERT VON IDERSTINE

Provider Business Mailing Address
First Line	:	4600 LAKE RD
Second Line	:
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-1800
Country	:	US
Telephone Number	:	763-533-6775
Fax Number	:	763-535-2850

Provider Business Practice Location Address
First Line	:	4600 LAKE RD
Second Line	:
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-1800
Country	:	US
Telephone Number	:	763-533-6775
Fax Number	:	763-535-2850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1558305656 — DR. PHILIP FOREST FABEL DDS
Practice Location Address:

4600 LAKE RD
ROBBINSDALE, MN
55422-1800

Practice Phone: 763-537-1292
Practice Fax: 763-537-1468

1922278753 — PHILIP F FABEL DDS PA
Practice Location Address:

4600 LAKE RD
ROBBINSDALE, MN
55422-1800

Practice Phone: 763-537-1292
Practice Fax: 763-537-1468

1316449457 — GERALD MORLEY PA
Practice Location Address:

4600 LAKE ROAD AVE
ROBBINSDALE, MN
55422-1800

Practice Phone: 763-522-2222
Practice Fax:

1194682682 — RISING LEGACY HOME HEALTH LLC.
Practice Location Address:

4740 42ND AVE N STE 206
ROBBINSDALE, MN
55422-1828

Practice Phone: 763-381-7886
Practice Fax:

1366567406 — SUSAN SUNDLIN
Practice Location Address:

3300 OAKDALE AVE N
ROBBINSDALE, MN
55422-2926

Practice Phone: 763-520-1926
Practice Fax: 763-520-5622

1578569232 — HEALTHPLUS CHIROPRACTIC
Practice Location Address:

4080 W BROADWAY AVE , STE 128
ROBBINSDALE, MN
55422-5605

Practice Phone: 763-535-4342
Practice Fax: 763-533-2526

Directions to “ DR. MARTIN ROBERT VON IDERSTINE ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.