| NPI | 1326582008 |
|---|---|
| Doing Business As | THECHIROPRACTOR |
| Entity Type | Organization |
| Authorized Contact | LEO RAYMOND GONSOWSKI Owner 612-963-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3847-012) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2018-01-03 |