NPI | 1821074089 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT JOSEPH JUETTEN Owner Operator CEO 320-468-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN MN002959) |
Enumeration Date | 2005-12-20 |
Last Update Date | 2007-11-13 |