| NPI | 1144634395 |
|---|---|
| Other Name | NORTH MAPLE GROVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM PETERSEN Chiropractor 763-420-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1764) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5767) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2015-03-19 |