| NPI | 1255653838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LYNN FAGAN Chiropractor, Owner 612-379-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2874) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2011-01-18 |