| Core Lifestyle Clinic | |
|
221 N 1st St Minneapolis MN 55401-1599 | |
| (612) 354-2509 | |
| Not Available |
| Full Name | Core Lifestyle Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 N 1st St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Emily J Dahl (CHIROPRACTOR) |
| Authorized Official Contact | 7154976943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Lifestyle Clinic 221 N 1st St Minneapolis MN 55401-1599 Ph: (612) 354-2509 | Core Lifestyle Clinic 221 N 1st St Minneapolis MN 55401-1599 Ph: (612) 354-2509 |
| NPI Number | 1497453575 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Medicare PECOS PAC ID | 6901308634 |
|---|---|
| Medicare Enrollment ID | O20250903003060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497453575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Emily J Dahl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871886440 PECOS PAC ID: 6608053921 Enrollment ID: I20110613000843 |
| Provider Name | Darin J Wagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134585482 PECOS PAC ID: 1456650985 Enrollment ID: I20160504000879 |
| Provider Name | Anna Fobbe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588431274 PECOS PAC ID: 0840792594 Enrollment ID: I20250903003339 |
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