| NPI | 1295143014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN R FOELL Owner/Provider 701-845-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 410) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 6004) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-06-27 |