NPI | 1700159878 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA MICHELLE SCHUG Chiropractor/Owner 612-720-8836 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5328) |
Enumeration Date | 2012-02-20 |
Last Update Date | 2012-04-04 |