Organization
NORTHWOODS CHIROPRACTIC P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANICIA GWEN PETERSON D.C. (PRESIDENT)
(218) 692-1616
Entity
Organization
Contact information
Practice address
13743 E SHORE RD, CROSSLAKE, MN 56442-4033
(218) 692-1616
(218) 692-1626
Mailing address
13743 E SHORE RD, CROSSLAKE, MN 56442-4033
(218) 692-1616
(218) 692-1626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3138
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68D24NO
BCBS OFFICE ID #
MN
01
—
68D25PE
BCBS INDIVIDUAL ID #
MN
Enumeration date
01/02/2007
Last updated
08/22/2020
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