Healthcare Provider Details

I. General information

NPI: 1992630651
Provider Name (Legal Business Name): HEARTLAND MIND AND BODY CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E 5TH ST STE 2
ARGYLE MN
56713-4103
US

IV. Provider business mailing address

PO BOX 377
ARGYLE MN
56713-0377
US

V. Phone/Fax

Practice location:
  • Phone: 701-360-0851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MARIE WOINAROWICZ
Title or Position: OWNER
Credential:
Phone: 701-360-0851