NPI | 1922289719 |
---|---|
Doing Business As | WILDENAUER CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | SCOTT ANDREW MOORING Owner/Operator 651-455-5264 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4451) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2016-09-01 |