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NPI Code Detail

MEDICARE: CLASSIC ACUPUNCTURE SERVICES AND CHINESE MEDICINE INC

MEDICARE: CLASSIC ACUPUNCTURE SERVICES AND CHINESE MEDICINE INC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1952638827
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLASSIC ACUPUNCTURE SERVICES AND CHINESE MEDICINE INC
Provider Business Mailing Address
First Line : 2578 RICE ST
Second Line :
City : LITTLE CANADA
State : MN
Zip : 55113-3712
Country : US
Telephone Number : 651-999-9150
Fax Number :
Provider Business Practice Location Address
First Line : 2578 RICE ST
Second Line :
City : LITTLE CANADA
State : MN
Zip : 55113-3712
Country : US
Telephone Number : 651-999-9150
Fax Number :
Authorized Official
Title or Position : OWNER
Name : YING-TZU HSU
Credential :
Telephone Number : 651-999-9150
Provider Enumeration Date : 11/12/2009
Last Update Date : 11/12/2009

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Directions to “CLASSIC ACUPUNCTURE SERVICES AND CHINESE MEDICINE INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.