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 |