| Wanamingo Chiropractic Llc | |
|
200 Main St Wanamingo MN 55983-3848 | |
| (507) 824-2336 | |
| Not Available |
| Full Name | Wanamingo Chiropractic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 200 Main St, Wanamingo, Minnesota |
| Authorized Official Name and Position | Brent Leininger (OWNER) |
| Authorized Official Contact | 5078242336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanamingo Chiropractic Llc Po Box 214 Wanamingo MN 55983-0214 Ph: (507) 824-2336 | Wanamingo Chiropractic Llc 200 Main St Wanamingo MN 55983-3848 Ph: (507) 824-2336 |
| NPI Number | 1679707996 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679707996 | NPI | - | NPPES |
| 428319800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4846 (Minnesota) | Primary |