| NPI | 1033395280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ROBERT THOMSEN President/Owner 701-746-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 649) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2015-05-19 |