| NPI | 1790904571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHARLES DEGLMANN Owner/President 952-833-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4646) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-10-28 |