| NPI | 1174633010 |
|---|---|
| Doing Business As | VITAL INJURY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD S FAIRROW President 651-714-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3797) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |