| NPI | 1376832485 |
|---|---|
| Doing Business As | DBA HEALTHSOURCE OF CHASKA |
| Entity Type | Organization |
| Authorized Contact | SEAN DANIEL NEUBAUER Vice President 952-442-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1972353) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-10-05 |