| NPI | 1376793356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH HUNTER STAPLES President 763-972-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN DC 4061) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |