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NPI Code Detail

MEDICARE: MIDWEST CHIROPRACTIC AND WELLNESS

MEDICARE: MIDWEST CHIROPRACTIC AND WELLNESS
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
1111N00000XChiropractor5332MN

General Provider Information

NPI Number : 1144551383
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST CHIROPRACTIC AND WELLNESS
Provider Business Mailing Address
First Line : 17578 HARALSON DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55347-3535
Country : US
Telephone Number : 701-388-2000
Fax Number :
Provider Business Practice Location Address
First Line : 8941 AZTEC DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55347-1916
Country : US
Telephone Number : 701-388-2000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SCOTT WALTER
Credential :
Telephone Number : 701-388-2000
Provider Enumeration Date : 01/28/2010
Last Update Date : 01/28/2010

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Directions to “MIDWEST CHIROPRACTIC AND WELLNESS ” Practice Location

Language Start Address Practice Location
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.

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