| NPI | 1568544864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALAN PAULSON Manager 952-925-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: MN 1266) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-12-09 |