| NPI | 1073749842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL KENT METCALF Owner 320-251-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1413) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MN 1413) |
| 111NS0005X Chiropractor, Sports Physician (Licence: MN 1413) | |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2009-06-06 |