OrganizationActive
Green Lake Chiropractic, PA
NPI 1760660427 · Health Service Clinic/Center · Willmar, MN
Provider details
- NPI number
- 1760660427
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Haefner, President(320) 214-0044
- License
- 4176 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
205 5th St Sw
Willmar, MN 56201-3211
Phone: (320) 214-0044
Fax: (320) 214-0045
Approximate (ZIP-level) locationGet directions
Mailing address
205 5th St Sw
Willmar, MN 56201-3211
Other names (DBA / former)
- Doing business as
- Meridian Disc Institute
Registry dates
- Enumerated
- 2008-02-05
- Last updated
- 2008-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.