Organization
MINNESOTA INSTITUTE OF WELLNESS
Active
Other names
Institute For Whole Health
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MONGEON D.C. (OWNER)
(218) 722-4845
Entity
Organization
Contact information
Practice address
1525 LONDON RD, DULUTH, MN 55812-1617
(218) 722-4845
(218) 722-8480
Mailing address
1525 LONDON RD, DULUTH, MN 55812-1617
(218) 722-4845
(218) 722-8480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015855100
—
MN
01
—
050G7WA
BCBS
MN
01
—
496T8WA
BCBS
MN
Enumeration date
06/28/2007
Last updated
08/20/2008
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