| NPI | 1083081418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JEFFREY DETTLING Owner/ Head Doctor 763-560-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6125) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-04 |