| NPI | 1861677809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JAMES SMITH Owner/Practitioner 952-953-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4640) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-03-25 |