Organization
GREGORY J. MONGEON, DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MONGEON D.C. (PRESIDENT)
(612) 499-1008
Entity
Organization
Contact information
Practice address
2855 S 70TH ST, LINCOLN, NE 68506-3700
(612) 499-1008
Mailing address
2508 BORDEAUX LN APT 208, NAPERVILLE, IL 60540-2013
(612) 499-1008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1558
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
782696600
—
MN
Enumeration date
02/02/2010
Last updated
02/02/2010
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