| NPI | 1942413604 |
|---|---|
| Doing Business As | MN SPINE AND SPORT |
| Entity Type | Organization |
| Authorized Contact | CHAD BEILER Owner/ President 651-459-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4435) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-12-10 |