Individual
DR. GARY ALBERT BOHNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
401 EAST DUAL BLVD, BOHNEN CHIROPRACTIC CENTER PA, ISANTI, MN 55040
(763) 444-5597
(763) 444-5598
Mailing address
PO BOX 337, BOHNEN CHIROPRACTIC CENTER PA, ISANTI, MN 55040
(763) 444-5597
(763) 444-5598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1634
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230103
CHIROCARE OF MINNESOTA
MN
01
—
56040BO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/24/2006
Last updated
07/08/2007
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