| NPI | 1972968337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ROSE KAMPMEIER WETHERN Doctor Of Chiropractor/Owner 651-493-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 4977) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2024-12-29 |