Organization
HEARTLAND FAMILY CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JAY GRUSSING D.C. (PRESIDENT)
(320) 847-3511
Entity
Organization
Contact information
Practice address
23 NORTH MAIN STREET, CLARA CITY, MN 56222-0793
(320) 847-3511
(320) 847-3752
Mailing address
23 NORTH MAIN STREET, P.O. BOX 793, CLARA CITY, MN 56222-0793
(320) 847-3511
(320) 847-3752
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3280
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128M9HE
BCBS GROUP PIN
MN
Enumeration date
02/21/2007
Last updated
08/22/2020
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