| 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 |