| NPI | 1982979100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA COLLEEN MILLER Owner/ Chiropractor 763-754-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 5585) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2017-04-19 |