| NPI | 1972519528 |
|---|---|
| Former Legal Business Name | KOSSAN FAMILY CHIROPRACTIC, INC. |
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN JOHNSRUD Owner/Chiropractor 320-846-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4260) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-11-03 |