Organization
GRUNST CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN GRUNST D.C. (OWNER)
(218) 631-3382
Entity
Organization
Contact information
Practice address
10 BRYANT AVE SE, WADENA, MN 56482-1544
(218) 631-3382
Mailing address
10 BRYANT AVE SE, WADENA, MN 56482-1544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2831
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697665400
—
MN
Enumeration date
03/14/2007
Last updated
09/21/2011
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