| NPI | 1841536323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD LEROY HENDRICKSON President/Treasurer/Secretary 218-205-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5736) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-26 |