Healthcare Provider Details

I. General information

NPI: 1942658612
Provider Name (Legal Business Name): MICHAEL JOSEPH SCHINDELHOLZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 VINEWOOD LN N STE 19
PLYMOUTH MN
55441-1155
US

IV. Provider business mailing address

3900 VINEWOOD LN N STE 19
PLYMOUTH MN
55441-1155
US

V. Phone/Fax

Practice location:
  • Phone: 763-559-9236
  • Fax:
Mailing address:
  • Phone: 763-559-9236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6233
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: