NPI | 1700239001 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT N KRUPKE Chiropractor 320-354-4793 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 111N00000X) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-07-21 |