| NPI | 1932856457 |
|---|---|
| Doing Business As | ELITE SPINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | BLAKE R DEJONG Owner 952-797-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |