| NPI | 1013056472 |
|---|---|
| Doing Business As | GRANITE CITY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL MIES President 320-251-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2962) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-07-15 |