| NPI | 1699941385 |
|---|---|
| Doing Business As | COUNTRYSIDE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LYNNE MARIE MADEJ Owner/Operator 952-829-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: MN DC 5087) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2010-03-18 |