| NPI | 1003950023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN HANSON Office Manager 701-772-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 566) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 516) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2009-12-03 |