| NPI | 1114137213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED TIMOTHY DAVID MADSEN President 612-870-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1221) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |