NPI | 1467795393 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD F AHMED Owner 612-886-2311 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5444) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MN 5444) |
171100000X Acupuncturist (Licence: MN 908) | |
Enumeration Date | 2013-03-28 |
Last Update Date | 2013-11-14 |