| NPI | 1770802019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KONZ Owner 763-497-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5292) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 111N00000X Chiropractor | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2016-07-06 |