NPI | 1487754842 |
---|---|
Doing Business As | ADVANTAGE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | MARK DAVID ROERICK CEO 320-251-1080 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3259) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2020-08-22 |