MEDICARE: JOYCE CUNDIFF DC

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	111NP0017X	Pediatric Chiropractor	6625	MN
2	111N00000X	Chiropractor	6625	MN

General Provider Information

NPI Number	:	1205488244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE CUNDIFF DC

Provider Business Mailing Address
First Line	:	8441 WAYZATA BLVD STE 370
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55426-1386
Country	:	US
Telephone Number	:	952-345-8244
Fax Number	:

Provider Business Practice Location Address
First Line	:	3018 W 56TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55410-2474
Country	:	US
Telephone Number	:	612-361-0068
Fax Number	:

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

Provider Enumeration Date	:	07/10/2019
Last Update Date	:	06/28/2022

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Directions to “ JOYCE CUNDIFF DC” Practice Location

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