Individual provider · Type 1 NPI
Gregory Thomas Smock, DC
Chiropractor · Big Lake, MN
NPI number
1639264757
Active
Practice location
29 Lake St S
Big Lake, MN 55309-4588
Fax (763) 263-5900
Mailing address
PO Box 277
Big Lake, MN 55309-0277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1471 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
Other chiropractor providers in Big Lake
About NPI 1639264757
Gregory Thomas Smock, DC's National Provider Identifier is 1639264757, issued on Oct 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Big Lake, MN. The record was last updated on Aug 31, 2012.