Organization
PAYNESVILLE CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH PAULINE GREGUSON-PUPPE D.C. (OWNER)
(320) 243-7551
Entity
Organization
Contact information
Practice address
319 E HIGHWAY 55, PAYNESVILLE, MN 56362-2047
(320) 243-7551
(320) 243-7571
Mailing address
319 E HIGHWAY 55, PAYNESVILLE, MN 56362-2047
(320) 243-7551
(320) 243-7571
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3023
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C021GR
BCBS CLINIC ID
FM
05
—
548228300
—
MN
Enumeration date
07/21/2006
Last updated
09/09/2015
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