| NPI | 1396828299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SAMMON President 651-454-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3303) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4324) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |