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NPI Code Detail

MEDICARE: DR. CYNTHIA M STARBUCK DC

MEDICARE: DR. CYNTHIA M STARBUCK DC
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
1111N00000XChiropractor4551MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619020997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA M STARBUCK DC
Provider Business Mailing Address
First Line : 1036 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1036 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1826
Country : US
Telephone Number : 651-699-3366
Fax Number : 651-699-5780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 05/14/2008

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Directions to “ DR. CYNTHIA M STARBUCK DC” Practice Location

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