| NPI | 1407168487 |
|---|---|
| Doing Business As | PREMIER SPORTS AND SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | HOLLY WESTBROCK Owner 952-479-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: MN 4943) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-09-23 |