NPI | 1417130782 |
---|---|
Doing Business As | EDWARD TIESZEN CLINIC |
Entity Type | Organization |
Authorized Contact | BRAD KEITH SCHMIDT President 605-648-3531 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 755) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2007-12-10 |