| NPI | 1255563920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN EDWARD ZAIDEL Partner 952-484-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5183) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5176) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |