| NPI | 1598940041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WING LOUIE Owner / Chiropractor 651-484-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4425) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-07 |