| NPI | 1952442782 |
|---|---|
| Doing Business As | CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON MICHAEL KOSTELECKY Owner 701-225-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 555) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-04-20 |