MEDICARE: ZERO DISTANCE ACUPUNCTURE LLC

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
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1194496471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZERO DISTANCE ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	1736 COPE AVE E STE A2
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-2610
Country	:	US
Telephone Number	:	612-261-7300
Fax Number	:	612-677-3886

Provider Business Practice Location Address
First Line	:	1736 COPE AVE E STE A2
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-2610
Country	:	US
Telephone Number	:	612-261-7300
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	DR. GANG YIN
Credential	:	L.AC
Telephone Number	:	612-258-5757

Provider Enumeration Date	:	09/25/2021
Last Update Date	:	01/31/2026

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Directions to “ZERO DISTANCE ACUPUNCTURE LLC ” Practice Location

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