NPI | 1023581808 |
---|---|
Doing Business As | LUNDGREN CHIROPRACTIC & WELLNESS CLINIC LLC |
Entity Type | Organization |
Authorized Contact | CLARK D LUNDGREN Member 406-827-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-02-15 |