| NPI | 1346567609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY VERNON NORTHRUP Chiropractor/Owner 651-292-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 5324) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |