Individual
GREGORY MICHAEL MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3220 BRIDGE ST NW STE 108, SAINT FRANCIS, MN 55070-8631
(763) 452-0171
(513) 912-0776
Mailing address
28803 DAHLIA DR NW, ISANTI, MN 55040-6331
(763) 452-0171
(763) 452-0171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4112
OH
111N00000X
Chiropractor
Primary
4979
MN
171100000X
Acupuncturist
1074
MN
171100000X
Acupuncturist
ACPU-00177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138456
—
OH
Enumeration date
03/30/2009
Last updated
11/30/2023
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