| NPI | 1427124874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LAWRENCE HUBERTY President 763-533-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3963) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5615) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-04-28 |