| NPI | 1407987415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLLE DIANE CORCORAN Chiropractor Owner 651-797-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4779) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-06-13 |