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David Wayne Gottenborg (D.C.)

Dr. David Wayne Gottenborg (D.C.) is a health care provider specializes in Chiropractor. He.

profile-icon Basic Information

Practice Location 12 5th Ave. Ne, Pelican Rapids, MN 56572, US
Practice Location Phone218-863-2134
Practice Location Fax218-863-2135
GenderMale
Specialty InChiropractor
Medical SchoolNorthwestern College Of Chiropractic
Graduation Year1983
NPI ?1053426171
PECOS ID2466485065
Enrollment IDI20050914000828
Entity TypeIndividual
Enumeration Date ? Aug 20, 2006
Last Update Date ? Nov 14, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of David Wayne Gottenborg

SpecialtySpecializationLicenseLicense State
Chiropractor 1952Minnesota

Medicare-icon Medicare Participation of David Wayne Gottenborg

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

legacy-id-icon Legacy Provider IDs of David Wayne Gottenborg

Provider IdIssuer StateIssuer TypeIssuer
61177GOMinnesotaOtherBLUE CROSS BLUE SHIELD MN
T65548MinnesotaMedicare Upin