| NPI | 1912787136 |
|---|---|
| Doing Business As | STONELAKE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JACOBY BERGERON Owner/Manager 218-688-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |