| NPI | 1710078407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S BALFANZ Owner/Dc 320-240-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6076) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 537) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-12-13 |