institution
Green Lake Chiropractic, Pa
Health Service Clinic/Center in Willmar, Minnesota
NPI 1760660427

Green Lake Chiropractic, Pa is a Health Service Clinic/Center based in Willmar, MN and is specialized in Health Service. Green Lake Chiropractic, Pa practices in Willmar, MN. The NPI Number for Green Lake Chiropractic, Pa is 1760660427 and holds a License No. 4176 (Minnesota).

The current practice location address for Green Lake Chiropractic, Pa is 205 5Th St Sw, Willmar, MN and can be reached out via phone at 320-214-0044 and via fax at 320-214-0045. You can also correspond with Green Lake Chiropractic, Pa through the mailing address at 205 5TH ST SW, WILLMAR, MN - 56201-3211 (mailing address contact number: 320-214-0044).

Location: 205 5Th St Sw, Willmar, MN, 56201-3211
institution
Provider Profile Details
NPI Number
1760660427
Provider Name
Green Lake Chiropractic, Pa
Credential
Provider Entity Type
Organization
Address
205 5Th St Sw, Willmar, MN, 56201-3211
Phone Number
320-214-0044
Fax Number
320-214-0045
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
627686 01 MN ACN GROUP
0868 01 MN HEALTH SERVICE MGMT.
062M1GR 01 MN MN BCBS
institution
Provider Business Practice Location Address Details
Address
205 5Th St Sw
City
State
Zip
56201-3211
Phone Number
320-214-0044
Fax Number
320-214-0045
person
Provider Business Mailing Address Details
Address
205 5Th St Sw
City
State
Zip
56201-3211
Phone Number
320-214-0044
Fax Number
320-214-0045
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
4176 (Minnesota)
Definition
Definition to come...
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