MEDICARE: AMELIA BIERSCHBACH L.AC

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	171100000X	Acupuncturist	2102	MN

General Provider Information

NPI Number	:	1184420507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMELIA BIERSCHBACH L.AC

Provider Business Mailing Address
First Line	:	4425 RUTLEDGE AVE
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55436-1416
Country	:	US
Telephone Number	:	612-386-7034
Fax Number	:

Provider Business Practice Location Address
First Line	:	6250 EXCELSIOR BLVD STE 204
Second Line	:
City	:	SAINT LOUIS PARK
State	:	MN
Zip	:	55416-2735
Country	:	US
Telephone Number	:	612-822-2925
Fax Number	:

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

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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