NPI | 1912195124 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER S LILJA Owner 651-333-0658 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2007-10-12 |
Last Update Date | 2025-04-09 |