MEDICARE: CITY CHIROPRACTIC, PC

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	3753	MN

General Provider Information

NPI Number	:	1538341953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	1931 UNIVERSITY AVE NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-4337
Country	:	US
Telephone Number	:	612-706-8900
Fax Number	:	612-706-2676

Provider Business Practice Location Address
First Line	:	1931 UNIVERSITY AVE NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-4337
Country	:	US
Telephone Number	:	612-706-8900
Fax Number	:	612-706-2676

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL TIMM JOHNSON
Credential	:	DC
Telephone Number	:	612-810-5151

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	08/20/2024

Similar Medicare Providers

1093830556 — DR. MICHAEL TIMM JOHNSON D.C.
Practice Location Address:

1931 UNIVERSITY AVE NE
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Practice Phone: 612-706-8900
Practice Fax:

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1144198714 — HEALTHYSELF THERAPEUTIC MASSAGE
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1740117175 — IFRAH ABDIRAHMAN ALI
Practice Location Address:

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1164429197 — DR. LEANNE CORINNE WARNER D.C.
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1881681997 — WERNER ENTERPRISES INC.
Practice Location Address:

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Directions to “CITY CHIROPRACTIC, PC ” Practice Location

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