| NPI | 1164244034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C DECKER Owner 952-261-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 202D00000X Integrative Medicine | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-11-21 |