MEDICARE: KIANG WENG TAN 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	111N00000X	Chiropractor	7255	MN

General Provider Information

NPI Number	:	1396562864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIANG WENG TAN DC

Provider Business Mailing Address
First Line	:	2732 11TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1156
Country	:	US
Telephone Number	:	317-600-5358
Fax Number	:

Provider Business Practice Location Address
First Line	:	7741 AMANA TRL
Second Line	:
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-2615
Country	:	US
Telephone Number	:	317-600-5358
Fax Number	:

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

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	06/03/2025

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Directions to “ KIANG WENG TAN DC” Practice Location

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