NPI | 1356845853 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT TIMOTHY MCGRAW Owner/Chiropractor 612-481-0629 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6454) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2021-08-17 |