Individual
DR. CONNIE THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9479 GARLAND AVE, MAPLE GROVE, MN 55311-5480
(763) 494-8787
Mailing address
12748 WALTER DR, ROGERS, MN 55374-5822
(763) 360-2405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4091
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065473600
MN STATE AID
MN
01
—
078K2HE
BCBS MN
MN
01
—
112377
HEALTH PARTNERS
MN
01
—
44-00217
MEDICA
MN
Enumeration date
11/01/2006
Last updated
09/03/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us