Provider Demographics
NPI:1285226951
Name:FEILEN, GRETCHEN ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:ELIZABETH
Last Name:FEILEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 N CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1388
Mailing Address - Country:US
Mailing Address - Phone:612-562-8384
Mailing Address - Fax:
Practice Address - Street 1:2940 N CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-1388
Practice Address - Country:US
Practice Address - Phone:612-562-8384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6809111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor