David Wayne Gottenborg D.C.

NPI 1053426171 - Chiropractor - 111N00000X

NPI Details
NPI 1053426171
Gender Male
Enumeration Date 08/20/2006
Last Updated 11/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12 5TH AVE. NE
PELICAN RAPIDS MN, 56572, US
Phone (218) 863-2134
Fax (218) 863-2135
Business Location
PO BOX 385
PELICAN RAPIDS MN, 56572, US
Phone (218) 863-2134
Fax (218) 863-2135
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 1952
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According to our database, Dr. David Wayne Gottenborg D.C. NPI is 1053426171, taxonomy code is 111N00000X and license number is 1952, license state is located at Minnesota. David Wayne Gottenborg D.C. physically located at 12 5th Ave. Ne, Pelican Rapids MN, 56572. NPI Number David Wayne Gottenborg D.C. has the Individual type.

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1053426171 NPI number is provided on an as is basis without warranty of any kind. 1053426171 is maintained by the National Plan & Provider Enumeration System. The contents of David Wayne Gottenborg D.C. are for informational purposes only.