Healthcare Provider Details

I. General information

NPI: 1407788532
Provider Name (Legal Business Name): TRUE NORTH ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4657 WHITE BEAR PKWY
WHITE BEAR LAKE MN
55110-3300
US

IV. Provider business mailing address

4657 WHITE BEAR PKWY
WHITE BEAR LAKE MN
55110-3300
US

V. Phone/Fax

Practice location:
  • Phone: 651-504-2767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JAMIE SCHAFER
Title or Position: OWNER
Credential:
Phone: 651-504-2767