| NPI | 1194922179 |
|---|---|
| Doing Business As | SPINE & SPORTS CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT PETERSEN Doctor Of Chiropractic 651-639-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4232) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2008-12-03 |