Wanamingo Chiropractic Llc | |
200 Main St Wanamingo MN 55983-3848 | |
(507) 824-2336 | |
Not Available |
Full Name | Wanamingo Chiropractic Llc |
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Speciality | Clinic/center |
Location | 200 Main St, Wanamingo, Minnesota |
Authorized Official Name and Position | Brent Leininger (OWNER) |
Authorized Official Contact | 5078242336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wanamingo Chiropractic Llc Po Box 214 Wanamingo MN 55983-0214 Ph: (507) 824-2336 | Wanamingo Chiropractic Llc 200 Main St Wanamingo MN 55983-3848 Ph: (507) 824-2336 |
NPI Number | 1679707996 |
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Provider Enumeration Date | 05/14/2009 |
Last Update Date | 05/20/2009 |
Identifier | Type | State | Issuer |
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1679707996 | NPI | - | NPPES |
428319800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 4846 (Minnesota) | Primary |