| NPI | 1679998983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN BLAUFUSS SKALICKY President 320-629-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5886) |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2014-02-23 |