MEDICARE: DR. KARI WILHELMI 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	4415	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	155L9CH	OTHER	MN	BLUE CROSS BLUE SHIELD
2	252873	OTHER	MN	MIDLANDS CHOICE
3	155L8LI	OTHER	MN	BCBS GROUP NUMBER

General Provider Information

NPI Number	:	1225198716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARI WILHELMI D.C.

Provider Business Mailing Address
First Line	:	4100 GRAND AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-1539
Country	:	US
Telephone Number	:	612-822-7509
Fax Number	:	612-827-3860

Provider Business Practice Location Address
First Line	:	4100 GRAND AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-1539
Country	:	US
Telephone Number	:	612-822-7509
Fax Number	:	612-827-3860

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	09/12/2007

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