Green Lake Chiropractic, PA
Clinic/Center, Health Services in Willmar, MN. Organization (NPI-2).
NPI number1760660427
StatusActive
Last updated in NPPESJun 2, 2008
Details
- NPI
- 1760660427
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Lake Chiropractic, PA
- Organization subpart
- No
- Enumeration date
- Feb 5, 2008
- Last updated
- Jun 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 4176 | MN | Yes |
Other names
- Meridian Disc Institute (Doing Business As)
Practice location
205 5th St SwWillmar, MN 56201-3211
Phone 320-214-0044 · Fax 320-214-0045
Mailing address
205 5th St SwWillmar, MN 56201-3211
Phone 320-214-0044 · Fax 320-214-0045
Authorized official
Jon D. Haefner
President
3202140044
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.