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Organization

GUNNERSON CHIROPRACTIC INC.

Active
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Organization

GUNNERSON CHIROPRACTIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANE GUNNERSON (OWNER)
(218) 326-4022
Entity
Organization

Contact information

Practice address
1325 NW 4TH ST STE 200, GRAND RAPIDS, MN 55744-2209
(218) 326-4022
Mailing address
1325 NW 4TH ST STE 200, GRAND RAPIDS, MN 55744-2209
(218) 326-4022

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3335
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281827200
—
MN
01
—
350052380
RR MEDICARE
MN
01
—
4C806GU
BCBS
MN
Enumeration date
09/28/2006
Last updated
11/29/2011
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