| NPI | 1306151832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BISCHOFF Doctor/ Co Owner 651-294-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5277) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5273) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2015-09-29 |