MEDICARE: WARNER CHIROPRACTIC CLINIC

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	2516	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	981222003	OTHER	MN	MPH
2	44-40056	OTHER	MN	MEDICA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3C806WA	OTHER	MN	BLUE CROSS BLUE SHIELD
5	231031	OTHER	MN	ACN

General Provider Information

NPI Number	:	1750443255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARNER CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	2726 JOHNSON ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-3042
Country	:	US
Telephone Number	:	612-789-1010
Fax Number	:	612-789-9205

Provider Business Practice Location Address
First Line	:	2726 JOHNSON ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-3042
Country	:	US
Telephone Number	:	612-789-1010
Fax Number	:	612-789-9205

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LEANNE CORINNE WARNER
Credential	:	D.C.
Telephone Number	:	612-789-1010

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	07/12/2010

Similar Medicare Providers

1164429197 — DR. LEANNE CORINNE WARNER D.C.
Practice Location Address:

2726 JOHNSON ST NE
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1871583914 — DR. ANTHONY ALDO ONGARO D.D.S.
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1477632065 — DR. DAVID DALY O.D.
Practice Location Address:

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Directions to “WARNER CHIROPRACTIC CLINIC ” Practice Location

Language	Start Address	Practice Location

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