| NPI | 1063530830 |
|---|---|
| Professional Name | GREGORY JOHN MONGEON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1558) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4427) |
| 111N00000X Chiropractor (Licence: IL 038011535) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-05-10 |