| NPI | 1992909998 |
|---|---|
| Doing Business As | BLOOM LAKE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JASON SMITH Owner 612-721-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3356) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |