| NPI | 1164614202 |
|---|---|
| Doing Business As | DBA CROW RIVER CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | RANDY JOHAN JURGENSON Owner/Chiropractor 320-587-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3383) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2011-01-06 |