| NPI | 1356745681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY WALTER SONDER Chiropractor 218-326-8283 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MN 4059) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-12-17 |