Mitchell Alan Brecke (NPI# 1083031843, PAC ID# 9234352634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1083031843 |
| PAC ID by PECOS | 9234352634 |
| Professional Enrollment ID | I20140616000994 |
| Full Name | Mitchell Alan Brecke |
| Organization Legal Name | NORTHERN EDGE CHIROPRACTIC LLC |
| Address |
5480 Nathan N Ln Suite 102 Plymouth MN 55442-1995 |
| Phone Number | 7633165252 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2013 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0345463741 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5480 Nathan N Ln, Suite 102, Plymouth, MN 55442-1995 | 7633165252 | NORTHERN EDGE CHIROPRACTIC LLC |
| Organization Legal Name | NORTHERN EDGE CHIROPRACTIC LLC |
| Physicians | 1 |
| Street Address |
5480 NATHAN N LN SUITE 102 |
| City | PLYMOUTH |
| State | MN |
| Zip | 55442-1995 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Robert Curry | Chiropractic | 5480 Nathan N Ln, Suite 102, Plymouth, MN 55442-1995 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant R Smith | Optometry | 4190 Vinewood N Ln, Suite 109, Plymouth, MN 55442-1771 | |
| Stacey Marie Ohumukini | Occupational Therapy | Innovative Therapy LLC | 5480 Nathan Ln N, 140 Karlins Center, Plymouth, MN 55442-1995 |
| Michael B Shinder | Chiropractic | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442-2898 | |
| John K Valentini | Chiropractic | 4455 Hwy 169 N 200, Plymouth, MN 55442-2898 | |
| Samuel F Wolfson | Optometry | 9905 45th Ave N, Suite 110, Plymouth, MN 55442-3315 | |
| Kaikhushroo B Radmanesh | Internal Medicine | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| William R Jahnke Ii | Internal Medicine | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| Julia V Grigoriev | Internal Medicine | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| David B Pollak | Psychiatry | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| Jessica Lynn Larkin | Chiropractic | 4345 Nathan N Ln F, Plymouth, MN 55442-4523 | |
| Find all physicians in zip 55442 | |||
| City | PLYMOUTH |
| Zip Code | 55442 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PLYMOUTH + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mitchell Alan Brecke.
| 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.