Provider Demographics
NPI:1447839832
Name:YI ACUPUNCTURE AND CHINESE MEDICINE
Entity type:Organization
Organization Name:YI ACUPUNCTURE AND CHINESE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZUOBIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:YUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-512-9051
Mailing Address - Street 1:7400 METRO BLVD STE 385
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2358
Mailing Address - Country:US
Mailing Address - Phone:612-512-9051
Mailing Address - Fax:
Practice Address - Street 1:6075 MC KINLEY PL
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-8110
Practice Address - Country:US
Practice Address - Phone:434-227-2863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty