| NPI | 1780753475 |
|---|---|
| Other Name | PRIOR LAKE CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS LEONARD STICHA CEO 952-447-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |