Individual
GREGORY ALLEN LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1408 ATLANTIC AVE, BENSON, MN 56215-1126
(320) 843-4424
(320) 843-4229
Mailing address
1408 ATLANTIC AVE, BENSON, MN 56215-1126
(320) 843-4424
(320) 843-4229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0693
HEALTH SERVICES MANAGEMNT
MN
01
—
1D406LE
BLUE CROSS/BLUE SHIELD
MN
01
—
230470
CHIROCARE
MN
01
—
45429LE
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
07/20/2005
Last updated
07/08/2007
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