| NPI | 1801087903 |
|---|---|
| Doing Business As | MAPLE GROVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW ROBERT COULSON President/Owner 763-494-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4988) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |