| NPI | 1073626081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD WALLACE GINKEL Dc 952-908-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-09-17 |