MEDICARE: TARA SCHUG D.C.

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	5328	MN

General Provider Information

NPI Number	:	1598095986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA SCHUG D.C.

Provider Business Mailing Address
First Line	:	825 S 8TH ST STE 1106
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-1222
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 S 8TH ST STE 1106
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-1222
Country	:	US
Telephone Number	:	612-837-5334
Fax Number	:

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

Provider Enumeration Date	:	01/06/2010
Last Update Date	:	03/17/2018

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Directions to “ TARA SCHUG D.C.” Practice Location

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