NPI | 1639682610 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCAS RONALD EGGERICHS Chiropractor/Co Owner 763-438-3306 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6421) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2017-11-13 |