MEDICARE: DR. ANDREW NEWMAN 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	CHIA-1716	ID
2	111N00000X	Chiropractor	6223	MN

General Provider Information

NPI Number	:	1730537929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW NEWMAN D.C.

Provider Business Mailing Address
First Line	:	750 S PLAZA DR STE 104
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1505
Country	:	US
Telephone Number	:	651-406-4454
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 S PLAZA DR STE 104
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1505
Country	:	US
Telephone Number	:	612-710-8798
Fax Number	:

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

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	11/25/2025

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