| NPI | 1093864050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE JEROD CRANE Owner CEO 651-734-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3831) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4269) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |