| NPI | 1700053741 |
|---|---|
| Doing Business As | HEALTHSOURCE OF BISMARCK |
| Entity Type | Organization |
| Authorized Contact | JONATHAN DEITZ President 701-222-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 682) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2009-09-28 |