| NPI | 1548843097 |
|---|---|
| Doing Business As | SPORT & SPINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | ERIC JAMES WESSELS Owner /Provider 612-242-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |