| NPI | 1558745778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DEGLMANN President 763-913-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: MN 4646) |
| 111NN1001X Chiropractor, Nutrition (Licence: MN 5495) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |