Alex P Twenge
Chiropractor, Sports Physician in Excelsior, MN. Individual provider (NPI-1).
NPI number1891353074
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1891353074
- Entity type
- Individual (NPI-1)
- Name
- Alex P Twenge
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2019
- Last updated
- Jun 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 6639 | MN | Yes |
Practice location
23505 Smithtown Rd Ste 100Excelsior, MN 55331-4542
Phone 952-470-8555
Mailing address
23505 Smithtown Rd Ste 100Excelsior, MN 55331-4542
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