| NPI | 1972926707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD F AHMED Owner 651-331-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MN 5444) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5444) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |