NPI | 1912121708 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CLARE COOLEY Doctor Of Chiropractic Owner 218-525-3630 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 2079) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2011-01-24 |