| NPI | 1235338302 |
|---|---|
| Former Legal Business Name | MOORHEAD CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHARLES LOTZER Doctor 218-233-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2725) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 1143) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2008-07-14 |