| NPI | 1649677758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY P WANGERIN President/Chief Manager/Secretary 612-886-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4841) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |