| NPI | 1740406685 |
|---|---|
| Doing Business As | MINNESOTA SPINE & INJURY CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS DALE DEWALL President 763-441-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4224) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-07-22 |