| NPI | 1023499928 |
|---|---|
| Doing Business As | CLUB WEST CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT DONALD WADDELL Owner 651-257-1103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6017) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |