| NPI | 1710902028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN KOHOUT President/Owner 763-784-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2616) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 114) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-04-10 |