Pequot Lakes Chiropractic PA

NPI #1417540774 in Pequot Lakes, Minnesota

Provider Information

NPI Number: 1417540774
Entity Type: Organization
Organization Name: Pequot Lakes Chiropractic PA
Primary Specialty: Chiropractor
Enumeration Date: Feb 18, 2021
Last Updated: Feb 18, 2021

Practice Location

Address: 31095 BERQUIST DR
City: Pequot Lakes
State: Minnesota
ZIP Code: 56472-5647
Phone: (218) 568-7767

Authorized Official

Name: DR. JOSHUA ALAN DIETZE, DC
Title: OWNER
Phone: (218) 568-7677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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DR. Ryan Dennis Buell, DC	Chiropractor	Pequot Lakes	AI Deep Dive
DR. Nadine Indihar, DC	Chiropractor	Pequot Lakes	AI Deep Dive
DR. Joshua Alan Dietze, DC	Chiropractor	Pequot Lakes	AI Deep Dive
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