# INTEGRATED HEALTH & WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043555840
- **Authorized official:** DR. DEBRA J PROECHEL D.C. (OWNER)
- **Authorized official phone:** (320) 836-7150

## Contact information

- **Practice address:** 103 3RD AVE NE, FREEPORT, MN 56331-9017
- **Practice address phone:** (320) 836-7150
- **Practice address fax:** (320) 836-7162
- **Mailing address:** 103 3RD AVE NE, P.O. BOX 309, FREEPORT, MN 56331-9017
- **Mailing address phone:** (320) 836-7150
- **Mailing address fax:** (320) 836-7162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 2403 | MN | Yes |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 12/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 929827400 | — | MN |