Provider Demographics
NPI:1043587462
Name:XANDERS, ZENA (DC)
Entity Type:Individual
Prefix:DR
First Name:ZENA
Middle Name:
Last Name:XANDERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W GRANT ST
Mailing Address - Street 2:28K
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2309
Mailing Address - Country:US
Mailing Address - Phone:310-499-3870
Mailing Address - Fax:
Practice Address - Street 1:1311 W 25TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-2620
Practice Address - Country:US
Practice Address - Phone:612-374-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor