NPI 1417260779

Willmar Chiropractic Clinic P.A.

Organisation Chiropractor Willmar, MN

Practice location

Address: 1950 19th Ave SW, Willmar, MN 56201-4925
Phone: (320) 235-7347
Fax: (320) 222-2826

Authorised official

Name: Craig Matthew Leis
Title: President
Phone: (320) 235-7347

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 2839 (MN)

Other Chiropractor providers in Minnesota →

Registry record

NPI: 1417260779
Entity type: Organization
NPI issued: 15 Jul 2010
Record last updated: 15 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.