| NPI | 1376757682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY MILBRANDT CFO 218-628-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-09-28 |