| NPI | 1639208739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE JOHN Chiropractor Owner 651-490-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2834) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-01-11 |