| NPI | 1821435769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WADE FIEBELKORN Owner/President 651-717-8321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5807) |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2013-06-05 |