| NPI | 1235581059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN WERTISH Chiropractor 320-522-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 6224) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |