| NPI | 1558719393 |
|---|---|
| Doing Business As | SPECIFIC CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | BRANDON MICKELSON President 507-320-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5904) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-07-25 |