MEDICARE: MS. MARCIA J KRANZ LAC MA AC NCCAOM

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	1352	MN

General Provider Information

NPI Number	:	1558446161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARCIA J KRANZ LAC MA AC NCCAOM

Provider Business Mailing Address
First Line	:	2901 34TH AVE SOUTH #1
Second Line	:
City	:	MPLS
State	:	MN
Zip	:	55406
Country	:	US
Telephone Number	:	612-374-9516
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 FIFTH ST EAST
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033
Country	:	US
Telephone Number	:	651-480-8244
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/08/2007

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