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Dr. David Wayne Gottenborg, DC
Chiropractor in Pelican Rapids, Minnesota
NPI 1053426171

David Wayne Gottenborg is a Chiropractor based in Pelican Rapids, MN. David Wayne Gottenborg practices in Pelican Rapids, MN and has the professional credentials of DC. The NPI Number for David Wayne Gottenborg is 1053426171 and holds a License No. 1952 (Minnesota).

The current practice location address for David Wayne Gottenborg is 12 5Th Ave. Ne, Pelican Rapids, MN and can be reached out via phone at 218-863-2134 and via fax at 218-863-2135.

Location: 12 5Th Ave. Ne, Pelican Rapids, MN, 56572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053426171
Provider Name
David Wayne Gottenborg
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12 5Th Ave. Ne, Pelican Rapids, MN, 56572
Phone Number
218-863-2134
Fax Number
218-863-2135
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61177GO 01 MN BLUE CROSS BLUE SHIELD MN
institution
Provider Business Practice Location Address Details
Address
12 5Th Ave. Ne
City
Pelican Rapids
State
Minnesota
Zip
56572
Phone Number
218-863-2134
Fax Number
218-863-2135
person
Provider Business Mailing Address Details
Address
12 5Th Ave. Ne
City
Pelican Rapids
State
Minnesota
Zip
56572
Phone Number
218-863-2134
Fax Number
218-863-2135
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1952 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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