Joel B Wulff (NPI# 1720165384, PAC ID# 5092605014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1720165384 |
PAC ID by PECOS | 5092605014 |
Professional Enrollment ID | I20040316000122 |
Full Name | Joel B Wulff |
Address |
9678 Colorado Ln N Brooklyn Park MN 55445-2385 |
Gender | M |
Credential | DC |
Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
Graduation Year | 1989 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
9678 Colorado Ln N, Brooklyn Park, MN 55445-2385 |
Street Address |
9678 COLORADO LN N |
City | BROOKLYN PARK |
State | MN |
Zip | 55445-2385 |
Name | Specialty | Organization | Address |
---|---|---|---|
Madeline Rose Gail | Chiropractic | Jo G Theisen Dc, Pa | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 |
Walter O Nyabere | Nurse Practitioner | 8421 W Broadway Ave, Brooklyn Park, MN 55445-2266 | |
Jo G Theisen | Chiropractic | Jo G Theisen Dc, Pa | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 |
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 |
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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.