David Wayne Gottenborg, D.C.

Chiropractor · Pelican Rapids, MN

Individual Active NPI

NPI number 1053426171

Practice location

12 5TH Ave. NE
Pelican Rapids, MN 56572
Phone
(218) 863-2134
Fax
(218) 863-2135

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NPI record

NPI
1053426171
Entity type
Individual (Type 1)
Enumeration date
August 20, 2006
Last updated
November 14, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 1952 MN

Mailing address

PO Box 385
Pelican Rapids, MN 56572
Phone
(218) 863-2134
Fax
(218) 863-2135

About Dr. Gottenborg

David Wayne Gottenborg, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 12 5TH Ave. NE, Pelican Rapids, MN 56572. The NPI number 1053426171 was assigned on August 20, 2006 and the record was last updated on November 14, 2007.

Dr. Gottenborg lists a license in the registry: #1952 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Wayne Gottenborg, D.C.?

The NPI number is 1053426171.

What is the phone number of Dr. Gottenborg?

The phone number listed for the practice location is (218) 863-2134.

Where is Dr. Gottenborg located?

12 5TH Ave. NE, Pelican Rapids, MN 56572.

What is the taxonomy code for Dr. Gottenborg?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.