| NPI | 1023236874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL RALPH UECKER Doctor Owner 320-274-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MN 4274) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |