| NPI | 1245373034 |
|---|---|
| Doing Business As | GRAND AVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | CRAIG GEORGE ARVIDSON Chiropractor 651-224-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2049) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-02-14 |