| NPI | 1851839955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALAN CLETE STITTLEBURG Owner 715-937-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6314) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6317) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-05-02 |