| NPI | 1821278870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE DANIELSON Billing Manager 763-780-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 001396) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 003064) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |