Individual
MR. GARY DEAN WHEELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
605 NW 4TH ST, GRAND RAPIDS, MN 55744-2301
(218) 326-2714
(218) 326-2219
Mailing address
605 NW 4TH ST, GRAND RAPIDS, MN 55744-2301
(218) 326-2714
(218) 326-2219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1288
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73550WH
BCBS
MN
05
—
767325600
—
MN
Enumeration date
08/11/2006
Last updated
08/31/2009
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