| NPI | 1437310711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA PETRY DUNIVAN Chiropractor 651-260-1763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: MN 4395) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2018-04-15 |