| NPI | 1356607238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ANN ELLWANGER Chiropractor /CEO 952-405-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5310) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |