| NPI | 1255607305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY VERONICA POKORNY Business Manager 701-225-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 734) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |