David J Wilson (NPI# 1053456699, PAC ID# 8022182286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1053456699 |
| PAC ID by PECOS | 8022182286 |
| Professional Enrollment ID | I20080806000196 |
| Full Name | David J Wilson |
| Organization Legal Name | CHIROPRACTIC REHABILITATION CENTER LLC |
| Address |
9900 Valley Creek Rd Suite 145 Woodbury MN 55125-4898 |
| Phone Number | 6517341123 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2002 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8123192382 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9900 Valley Creek Rd, Suite 145, Woodbury, MN 55125-4898 | 6517341123 | CHIROPRACTIC REHABILITATION CENTER LLC |
| Organization Legal Name | CHIROPRACTIC REHABILITATION CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse J Crane | Chiropractic | Chiropractic Rehabilitation Center LLC | 9900 Valley Creek Rd, Suite 145, Woodbury, MN 55125-4898 |
| Street Address |
9900 VALLEY CREEK RD SUITE 145 |
| City | WOODBURY |
| State | MN |
| Zip | 55125-4898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse J Crane | Chiropractic | Chiropractic Rehabilitation Center LLC | 9900 Valley Creek Rd, Suite 145, Woodbury, MN 55125-4898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WOODBURY + CHIROPRACTIC |
Please comment or provide details below to improve the information on David J Wilson.
| 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.