| NPI | 1689031791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MULDER Chief Manager 507-220-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6153) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6179) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-27 |