| NPI | 1811184120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID TICKEL Owner/President 701-429-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5023) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |