| NPI | 1083474571 |
|---|---|
| Doing Business As | HEALTHSOURCE OF MANKATO |
| Entity Type | Organization |
| Authorized Contact | BRITTANY FUSSY Chief Operating Officer 763-354-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |