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Johnson Natural Health Care PA

Chiropractor in Detroit Lakes, MN. Organization (NPI-2).

NPI number1316074875
StatusActive
Last updated in NPPESSep 5, 2007

Details

NPI
1316074875
Entity type
Organization (NPI-2)
Legal business name
Johnson Natural Health Care PA
Organization subpart
No
Enumeration date
Feb 28, 2007
Last updated
Sep 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1208 Washington Ave
Detroit Lakes, MN 56501-3906

Phone 218-847-2809

Mailing address

1208 Washington Ave
Detroit Lakes, MN 56501-3906

Phone 218-847-2809

Authorized official

Jay Wesley Johnson
President
2188472809

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