| NPI | 1659665990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE HEERDT Chiropractor 612-325-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 5541) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2013-09-06 |