MEDICARE: DR. MARGARET M. MITCHELL D.C.

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	111NN1001X	Nutrition Chiropractor	3940	MN

General Provider Information

NPI Number	:	1154427508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET M. MITCHELL D.C.

Provider Business Mailing Address
First Line	:	7801 E BUSH LAKE RD
Second Line	:	SUITE 290
City	:	EDINA
State	:	MN
Zip	:	55439-3120
Country	:	US
Telephone Number	:	952-831-5015
Fax Number	:	952-831-0094

Provider Business Practice Location Address
First Line	:	7801 E BUSH LAKE RD
Second Line	:	SUITE 290
City	:	EDINA
State	:	MN
Zip	:	55439-3120
Country	:	US
Telephone Number	:	952-831-5015
Fax Number	:	952-831-0094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/08/2007

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