| NPI | 1811694631 |
|---|---|
| Doing Business As | CORE LIFESTYLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DARIN JOHN WAGNER Chiropractor/Owner 507-261-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |