| NPI | 1265620751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE LAUER Doctor Of Chiropractic 763-772-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA CH60023270) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MN 4978) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-06-26 |