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NPI Code Detail

MEDICARE: DR. ADAM STANLEY KLOTZEK D.C., D.A.C.N.B.

MEDICARE:  DR. ADAM STANLEY KLOTZEK  D.C., D.A.C.N.B.
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
1111NN0400XNeurology ChiropractorCH2685SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487619557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM STANLEY KLOTZEK D.C., D.A.C.N.B.
Provider Business Mailing Address
First Line : 1311 W 25TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-2620
Country : US
Telephone Number : 612-374-3392
Fax Number : 612-374-3477
Provider Business Practice Location Address
First Line : 1311 W 25TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-2620
Country : US
Telephone Number : 612-374-3392
Fax Number : 612-374-3477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 07/09/2007

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Directions to “ DR. ADAM STANLEY KLOTZEK D.C., D.A.C.N.B.” Practice Location

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