Organization
DAKOTA PLAINS CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBB GOTTENBORG (PRESIDENT)
(701) 463-2979
Entity
Organization
Contact information
Practice address
32 N. MAIN, GARRISON, ND 58540-0337
(701) 463-2979
Mailing address
PO BOX 337, GARRISON, ND 58540-0337
(701) 463-2979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
610
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01704002
BCBS GROUP NUMBER
ND
05
—
11102
—
ND
01
—
20580
ROBB GOTTENBORG'S BCBS
ND
Enumeration date
05/17/2007
Last updated
08/22/2020
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