MEDICARE: CENTRE FOR UPPER CERVICAL CHIROPRACTIC CARE LLC

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

General Provider Information

NPI Number	:	1750573929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRE FOR UPPER CERVICAL CHIROPRACTIC CARE LLC

Provider Business Mailing Address
First Line	:	6776 LAKE DR
Second Line	:	SUITE 210
City	:	LINO LAKES
State	:	MN
Zip	:	55014-1156
Country	:	US
Telephone Number	:	651-784-7515
Fax Number	:	651-784-7313

Provider Business Practice Location Address
First Line	:	6776 LAKE DR
Second Line	:	SUITE 210
City	:	LINO LAKES
State	:	MN
Zip	:	55014-1156
Country	:	US
Telephone Number	:	651-784-7515
Fax Number	:	651-784-7313

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARIE ROSE JOSEE GERARD
Credential	:	D.C.
Telephone Number	:	651-784-7515

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/13/2007

Similar Medicare Providers

1477630226 — AMANDA VICTORIA CLOUD GRAETZER OTR/L
Practice Location Address:

6776 LAKE DR # 170
LINO LAKES, MN
55014-1156

Practice Phone: 651-784-7007
Practice Fax:

1174730899 — ADVANCE OCCUPATIONAL THERAPY, LLC
Practice Location Address:

6776 LAKE DR , SUITE 220
LINO LAKES, MN
55014-1156

Practice Phone: 651-784-7007
Practice Fax: 651-784-7992

1588867154 — KELLI ANN KAETTERHENRY OTR
Practice Location Address:

6776 LAKE DR STE 170
CIRCLE PINES, MN
55014-1156

Practice Phone: 651-784-7007
Practice Fax:

1891266599 — UYANGA BAYANDALAI PHD, LPCC, LADC
Practice Location Address:

7108 2ND AVE
LINO LAKES, MN
55014-2900

Practice Phone: 320-224-0602
Practice Fax:

1811996754 — MR. CRAIG DENNIS JOHNSON P.T
Practice Location Address:

730 APOLLO DR , SUITE 120
LINO LAKES, MN
55014-3037

Practice Phone: 651-784-7866
Practice Fax: 651-784-7870

1841261088 — DR. KHANH XONG NGUYEN DO
Practice Location Address:

7455 VILLAGE DR
LINO LAKES, MN
55014-1181

Practice Phone: 651-717-3400
Practice Fax:

Directions to “CENTRE FOR UPPER CERVICAL CHIROPRACTIC CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.