| NPI | 1083923460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R PIETILA Owner 612-709-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: MN 4304) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: MN 4857) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |