| NPI | 1033526538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OOMMEN Doctor/Owner 651-216-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MN 5551) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MN 5551) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |