| NPI | 1679604755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN EDWARDS REDINGTON President 701-852-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 367) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 716) |
| 111N00000X Chiropractor (Licence: SD 1003) | |
| 111N00000X Chiropractor (Licence: MN 4475) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |