| NPI | 1376897033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LAWRENCE DETHLEFSEN Chiropractor 701-742-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND U63540) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |