MEDICARE: MINXES INCORPORATED

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	2301008944	MI

General Provider Information

NPI Number	:	1336528405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINXES INCORPORATED

Provider Business Mailing Address
First Line	:	1175 W LONG LAKE RD
Second Line	:	100
City	:	TROY
State	:	MI
Zip	:	48098-4438
Country	:	US
Telephone Number	:	248-952-1900
Fax Number	:	248-247-1691

Provider Business Practice Location Address
First Line	:	1175 W LONG LAKE RD
Second Line	:	100
City	:	TROY
State	:	MI
Zip	:	48098-4438
Country	:	US
Telephone Number	:	248-952-1900
Fax Number	:	248-247-1691

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL JOSEPH FARKAS
Credential	:	DC
Telephone Number	:	248-952-1900

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	05/22/2015

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Directions to “MINXES INCORPORATED ” Practice Location

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