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Organization
MINNESOTA INSTITUTE OF WELLNESS
Active
Organization
MINNESOTA INSTITUTE OF WELLNESS
Active
Other names
Institute For Whole Health
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MONGEON D.C. (OWNER)
(218) 722-4845
Entity
Organization
Contact information
Practice address
1525 LONDON RD, DULUTH, MN 55812-1617
(218) 722-4845
(218) 722-8480
Mailing address
1525 LONDON RD, DULUTH, MN 55812-1617
(218) 722-4845
(218) 722-8480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015855100
—
MN
01
—
050G7WA
BCBS
MN
01
—
496T8WA
BCBS
MN
Enumeration date
06/28/2007
Last updated
08/20/2008
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