| NPI | 1720237258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LANE HALLGREN Chiropractor/Owner 701-732-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 798) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2015-01-09 |