| NPI | 1225300676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD MARTIN KOTERBA Chiropractor/Owner 952-541-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5604) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2020-10-31 |