MEDICARE: DR. ZENA XANDERS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3206	MN

General Provider Information

NPI Number	:	1043587462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZENA XANDERS D.C.

Provider Business Mailing Address
First Line	:	110 W GRANT ST
Second Line	:	28K
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2309
Country	:	US
Telephone Number	:	310-499-3870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 W 25TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55405-2620
Country	:	US
Telephone Number	:	612-374-3392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2011
Last Update Date	:	11/30/2011

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