# MAHTOMEDI NATURAL CARE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538218284
- **Authorized official:** DR. GINA FIALA (DR. GINA FIALA)
- **Authorized official phone:** (651) 407-0802

## Contact information

- **Practice address:** 1526 MAHTOMEDI AVE, MAHTOMEDI, MN 55115
- **Practice address phone:** (651) 407-0802
- **Practice address fax:** (651) 407-0812
- **Mailing address:** 1526 MAHTOMEDI AVE, MAHTOMEDI, MN 55115
- **Mailing address phone:** (651) 407-0802
- **Mailing address fax:** (651) 407-0812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | MN4887 | MN | Yes |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 03/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 996697000 | — | MN |