NPI | 1912366030 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA ELIZABETH PRYBYLLA Owner/Dc 507-594-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3877) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MN 3877) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2025-02-14 |