Michael Denery, D.C.

Individual provider Active NPI Chiropractor · Long Prairie, MN

NPI 1386048627 · NPPES record last updated Oct 15, 2014

Key facts

NPI
1386048627
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
3419 (MN)
Practice address
18 2ND St N
Long Prairie, MN 56347-1118
Phone
(320) 732-4357
NPI assigned
Oct 15, 2014
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnessone of Nisswa Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3419 MN Yes

Addresses

Primary practice location

18 2ND St N
Long Prairie, MN 56347-1118

Mailing address

18 2ND St N
Long Prairie, MN 56347-1118
Phone (320) 732-4357

Other providers in Long Prairie, MN

All providers in Long Prairie, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.