| NPI | 1932601895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON HOWARD ANDERSON Owner / Provider 715-338-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6474) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |