Individual
DR. DALE GREGORY SCHMOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 E BOWLER ST, LE CENTER, MN 56057-1768
(507) 357-2323
(507) 357-2370
Mailing address
28689 HUB DR, MADISON LAKE, MN 56063-4179
(507) 330-1072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C805SC
BLUE CROSS BLUE SHIELD OF MN
MN
05
—
501120000
—
MN
Enumeration date
11/14/2006
Last updated
06/10/2008
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