NPI | 1144686247 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON WADE DIXON Doctor Of Chiropractic/Owner 218-444-8540 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1542) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2016-01-21 |