| NPI | 1205848108 |
|---|---|
| Doing Business As | SOUTHRIDGE CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHERI LEE TEN BROEK Owner/Doctor 701-258-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-08-23 |