NPI | 1407160534 |
---|---|
Doing Business As | HEALTHSOURCE OF LITTLE FALLS |
Entity Type | Organization |
Authorized Contact | BENJAMIN DAVID GRAMS Owner/Doctor 320-632-9224 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1028) |
Enumeration Date | 2010-07-30 |
Last Update Date | 2021-09-10 |