NPI | 1255520128 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS WAYNE GERHART President 651-439-2712 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5020) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4981) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2007-10-17 |