| NPI | 1376967489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KOEHLER CEO 651-487-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4474-12) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-11 |