| NPI | 1851626055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL IAN POZARNSKY President 952-201-8472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 832) |
| 111N00000X Chiropractor | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2021-04-19 |