NPI | 1942734801 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC GREGORY KNUDSON Owner/Chiropractor 763-208-4424 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 6248) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2017-04-18 |