| NPI | 1073855953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GERARD MANCINI Owner/President 612-345-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4982) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-07-31 |