MEDICARE: DR. DANIEL JAMES ADAMIETZ D. C. MS, ATC, CSCS

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	7408	MN

General Provider Information

NPI Number	:	1780082164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JAMES ADAMIETZ D. C. MS, ATC, CSCS

Provider Business Mailing Address
First Line	:	2624 14TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1125
Country	:	US
Telephone Number	:	218-296-3811
Fax Number	:

Provider Business Practice Location Address
First Line	:	945 BROADWAY ST NE STE 220
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-3101
Country	:	US
Telephone Number	:	218-296-3811
Fax Number	:

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

Provider Enumeration Date	:	12/17/2014
Last Update Date	:	02/09/2026

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