Organization
WATERVILLE CHIROPRACTICE CENTER
Active
Other names
Minnesota Institute of Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J MONGEON D.C. (OWNER)
(507) 388-8883
Entity
Organization
Contact information
Practice address
1400 E MADISON AVE, SUITE 310, MANKATO, MN 56001-5473
(507) 388-8883
(507) 388-7620
Mailing address
1400 E MADISON AVE, SUITE 310, MANKATO, MN 56001-5473
(507) 388-8883
(507) 388-7620
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496T8WA
BCBS
MN
Enumeration date
06/28/2007
Last updated
08/22/2020
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