NPI | 1205145273 |
---|---|
Doing Business As | HEALTHSOURCE ST. PAUL |
Entity Type | Organization |
Authorized Contact | JOSHUA ANTHONY KARY Director/Owner 651-731-1880 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4486) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2010-09-24 |