Minnesota Institute of Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MINNESOTA INSTITUTE OF WELLNESS

Practice address

1525 London Rd
Duluth, MN 55812-1617

Phone

(218) 722-4845

Fax

(218) 722-8480

NPI assigned

Jun 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Mongeon, D.C.

Title

Owner

Phone

(218) 722-4845

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Institute For Whole Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1306043997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121617",
            "telephone_number": "218-722-4845",
            "fax_number": "218-722-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121617",
            "telephone_number": "218-722-4845",
            "fax_number": "218-722-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA INSTITUTE OF WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MONGEON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-722-4845",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015855100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "496T8WA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050G7WA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute For Whole Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindful Beginnings Counseling
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• Mary Catherine Minke, DO
• Minnesota Indian Primary Residential Treatment Center, Inc.
• Minnesota Oncology Hematology, PA
• Minnesota Oncology Hematology, PA
• Minnesota Teen Challenge, Inc.
• Max Miranda, M.D.
• Barbara Misiewicz, RD, LD

• Chiropractor in Duluth, MN
• Providers in Duluth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.