| NPI | 1215080940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN HOLIEN Office Manager 320-252-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2457) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 2974) |
| 111N00000X Chiropractor (Licence: MN 3792) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |