| NPI | 1659694149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT ALLEN WELLS President 651-233-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3971) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1100) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |