| NPI | 1992929541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A ANDERSON Owner 612-722-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3363) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 508) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-01-28 |