Fosston Chiropractic Clinic, P.a.

NPI #1063796795 in Fosston, Minnesota

Provider Information

NPI Number: 1063796795
Entity Type: Organization
Organization Name: Fosston Chiropractic Clinic, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Sep 29, 2011
Last Updated: Sep 29, 2011

Practice Location

Address: 104 JOHNSON AVE N
City: Fosston
State: Minnesota
ZIP Code: 56542-1328
Phone: (218) 435-6186

Authorized Official

Name: DR. GABRIEL WIENER, DC
Title: OWNER
Phone: (218) 435-6186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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