| NPI | 1063551844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LISA OUELLETTE Chiropractor 701-483-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 608) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-04-11 |