| NPI | 1578804316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE ALLEN WIEGEL Owner 701-202-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 921) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 922) |
| 171100000X Acupuncturist | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2024-02-16 |