| NPI | 1316147200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL E OLSON Receptionist 507-235-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2034) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2013-08-23 |