Organization
INTEGRATED HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA J PROECHEL D.C. (OWNER)
(320) 836-7150
Entity
Organization
Contact information
Practice address
103 3RD AVE NE, FREEPORT, MN 56331-9017
(320) 836-7150
(320) 836-7162
Mailing address
103 3RD AVE NE, P.O. BOX 309, FREEPORT, MN 56331-9017
(320) 836-7150
(320) 836-7162
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2403
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
929827400
—
MN
Enumeration date
12/05/2012
Last updated
12/05/2012
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