| NPI | 1265624555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER WILLIAM SHEPPARD Chiropractor Owner 651-458-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4316) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |