| NPI | 1083719116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. MAYFIELD President 952-885-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MN 1758) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-09-12 |