Provider Demographics
NPI:1427097849
Name:FAMILY WELLNESS CENTER OF C G P.A.
Entity type:Organization
Organization Name:FAMILY WELLNESS CENTER OF C G P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-242-7838
Mailing Address - Street 1:7501 80TH ST S STE 100
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3063
Mailing Address - Country:US
Mailing Address - Phone:651-459-2225
Mailing Address - Fax:651-458-8037
Practice Address - Street 1:7501 80TH ST S STE 100
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3063
Practice Address - Country:US
Practice Address - Phone:651-459-2225
Practice Address - Fax:651-458-8037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty