NPI | 1912329111 |
---|---|
Entity Type | Organization |
Authorized Contact | JON CONRAD GRISSMAN Chiropractor/Owner 507-387-5591 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5836) |
Enumeration Date | 2014-01-08 |
Last Update Date | 2014-01-08 |