| NPI | 1225284342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE ALISE BECKER-PUKLICH Owner 952-746-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 003321) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-10-14 |