| NPI | 1780800524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M LOIDOLT President 320-230-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MN 4468) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |