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NPI Code Detail

MEDICARE: DR. REBECCA ADAMEK PECKELS D.C.

MEDICARE:  DR. REBECCA  ADAMEK PECKELS  D.C.
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
1111N00000XChiropractor4104MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14487340OTHERMNMEDICA
253D96ADOTHERMNBCBS
375250OTHERMNHEALTHPARTNERS
41833842OTHERMNARAZ

General Provider Information

NPI Number : 1699860320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA ADAMEK PECKELS D.C.
Provider Business Mailing Address
First Line : 5000 W 36TH ST STE 120
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55416-2758
Country : US
Telephone Number : 612-922-8100
Fax Number :
Provider Business Practice Location Address
First Line : 5000 W 36TH ST STE 120
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55416-2758
Country : US
Telephone Number : 612-922-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. REBECCA ADAMEK PECKELS D.C.” Practice Location

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