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NPI Code Detail

MEDICARE: TEAM HEALTH CARE CLINIC PC

MEDICARE: TEAM HEALTH CARE CLINIC 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
1111N00000XChiropractor2767MN
2111N00000XChiropractor
3111NI0900XInternist Chiropractor2076MN
4174400000XSpecialist5938MN
5174400000XSpecialist6548MN
6207QS0010XSports Medicine (Family Medicine) Physician34627MN
7111N00000XChiropractor2766MN

General Provider Information

NPI Number : 1457458689
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEAM HEALTH CARE CLINIC PC
Provider Business Mailing Address
First Line : 12217 CHAMPLIN DR
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-1930
Country : US
Telephone Number : 763-323-1492
Fax Number : 763-422-1657
Provider Business Practice Location Address
First Line : 12217 CHAMPLIN DR
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-1930
Country : US
Telephone Number : 763-323-1492
Fax Number : 763-422-1657
Authorized Official
Title or Position : CEO
Name : JOSEPH ALAN BERTSCH
Credential :
Telephone Number : 763-323-1492
Provider Enumeration Date : 09/20/2006
Last Update Date : 11/16/2022

Similar Medicare Providers

1164426607 — DR. JAY PATRICK BERTSCH D.C.
Practice Location Address:
12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930
Practice Phone: 763-323-1492
Practice Fax:
1437154671 — DR. TIMOTHY THOMAS BERTSCH DC
Practice Location Address:
12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930
Practice Phone: 763-323-1492
Practice Fax:
1295731503 — DR. JOSEPH ALAN BERTSCH DC
Practice Location Address:
12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930
Practice Phone: 763-323-1492
Practice Fax: 763-422-1657
1588755391 — ANNE ADIX PT
Practice Location Address:
12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930
Practice Phone: 763-323-1492
Practice Fax: 763-422-1657
1508953126 — ANDREA NEWPORT PT
Practice Location Address:
12217 CHAMPLIN DR
CHAMPLIN, MN
55316-1930
Practice Phone: 763-323-1492
Practice Fax: 763-422-1657
1144306101 — DR. DOCIA ANN HOGAN DDS
Practice Location Address:
12233 CHAMPLIN DR
CHAMPLIN, MN
55316-1930
Practice Phone: 763-323-0678
Practice Fax: 763-323-9102

Directions to “TEAM HEALTH CARE CLINIC PC ” Practice Location

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