MEDICARE: AARON MICHAEL BARTLETT 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	6656	MN

General Provider Information

NPI Number	:	1598457673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON MICHAEL BARTLETT DC

Provider Business Mailing Address
First Line	:	5541 NOKOMIS AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55417-2024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3035 WHITE BEAR AVE N STE 10
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-1321
Country	:	US
Telephone Number	:	651-779-9282
Fax Number	:

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

Provider Enumeration Date	:	05/25/2023
Last Update Date	:	07/09/2023

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