MEDICARE: DR. GARTH WILLIAM STROBEL 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	6484	MN

General Provider Information

NPI Number	:	1962988980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARTH WILLIAM STROBEL DC

Provider Business Mailing Address
First Line	:	714 GERANIUM AVE E
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55106-2521
Country	:	US
Telephone Number	:	507-279-8640
Fax Number	:

Provider Business Practice Location Address
First Line	:	4461 WHITE BEAR PKWY # 2
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-7626
Country	:	US
Telephone Number	:	651-348-8851
Fax Number	:

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

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	10/28/2022

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