| NPI | 1831132687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANIQUE ANNE PETERSON Chiropractor/Owner 320-269-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3676) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2025-10-13 |