| NPI | 1598926859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL LEROY ROEHL Doctor Of Chiropractic/ Owner 952-432-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2259MN) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |