Individual ProviderWesley RebarcakChiropractorChiropractic ProvidersPractice Address2012 Louisiana Avenue South, St. Louis Park, MN 55426(515) 451-7758PECOS EnrollmentBased on the most recent information from CMS, provider Wesley Rebarcak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1326430919Provider TypeIndividualFull NameRebarcak, WesleyTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date2/19/2015Last Updated2/19/2015Contact InformationPractice LocationPractice Address2012 Louisiana Avenue South, St. Louis Park, MN 55426Phone(515) 451-7758FaxUnlisted FaxMailing LocationMailing Address2012 Louisiana Ave S, St Louis Park, MN 55426-2721PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense6053Minnesota