MEDICARE: CULTURAL CHIROPRACTIC, PA

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	3450	MN

General Provider Information

NPI Number	:	1073731527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULTURAL CHIROPRACTIC, PA

Provider Business Mailing Address
First Line	:	2009 PLYMOUTH AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3712
Country	:	US
Telephone Number	:	612-522-9536
Fax Number	:	612-522-9537

Provider Business Practice Location Address
First Line	:	2009 PLYMOUTH AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3712
Country	:	US
Telephone Number	:	612-522-9536
Fax Number	:	612-522-9537

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JUNEAU ROBBINS
Credential	:
Telephone Number	:	612-522-9536

Provider Enumeration Date	:	04/22/2007
Last Update Date	:	08/22/2020

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