| NPI | 1578850061 |
|---|---|
| Doing Business As | REVIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | PETER WURDEMANN Owner 651-674-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-06-13 |