| NPI | 1972699403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JAMES SMIDT Owner/ Chiropractor 952-994-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4152) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |