Jo G Theisen (NPI# 1730262494, PAC ID# 1850398116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1730262494 |
| PAC ID by PECOS | 1850398116 |
| Professional Enrollment ID | I20061030000098 |
| Full Name | Jo G Theisen |
| Organization Legal Name | JO G THEISEN DC, PA |
| Address |
8465 W Broadway Ave Brooklyn Park MN 55445-2266 |
| Phone Number | 7634247750 |
| Gender | F |
| Credential | DC |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1988 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 7214934579 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 | 7634247750 | JO G THEISEN DC, PA |
| Organization Legal Name | JO G THEISEN DC, PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madeline Rose Gail | Chiropractic | Jo G Theisen Dc, Pa | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 |
| Street Address |
8465 W BROADWAY AVE |
| City | BROOKLYN PARK |
| State | MN |
| Zip | 55445-2266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madeline Rose Gail | Chiropractic | Jo G Theisen Dc, Pa | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter O Nyabere | Nurse Practitioner | 8421 W Broadway Ave, Brooklyn Park, MN 55445-2266 | |
| Joel B Wulff | Chiropractic | 9678 Colorado Ln N, Brooklyn Park, MN 55445-2385 | |
| Sumitra L Dorner | Clinical Social Worker | Crown Medical Support Services | 7001 78th Ave N, Suite 500, Brooklyn Park, MN 55445-2700 |
| Alvin C Stachowski | Chiropractic | Brook West Chiropractic Clinic, Pllc | 6800 78th Ave N, Suite 107, Brooklyn Park, MN 55445-2758 |
| Chad A Clementson | Chiropractic | Brook West Chiropractic Clinic, Pllc | 6800 78th Ave N, Suite 107, Brooklyn Park, MN 55445-2758 |
| Patrick A Gallagher Jr. | Chiropractic | Brook West Chiropractic Clinic, Pllc | 6800 78th Ave N, Suite 107, Brooklyn Park, MN 55445-2758 |
| Thomas M Trainer | Chiropractic | Brook West Chiropractic Clinic, Pllc | 6800 78th Ave N, Suite 107, Brooklyn Park, MN 55445-2758 |
| City | BROOKLYN PARK |
| Zip Code | 55445 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BROOKLYN PARK + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jo G Theisen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.