Individual
DR. SAMUEL GUNLOGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
519 S 1ST ST, MONTEVIDEO, MN 56265-2103
(320) 269-3211
(320) 269-9465
Mailing address
519 S 1ST ST, MONTEVIDEO, MN 56265-2103
(320) 269-3211
(320) 269-9465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4692
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022526600
—
MN
01
—
193G8CO
BCBS
MN
01
—
694114
ACN GROUP
MN
Enumeration date
08/05/2006
Last updated
12/26/2012
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