Jay W Johnson D.C.

NPI 1679760219 - Chiropractor - 111N00000X

NPI Details
NPI 1679760219
Gender Male
Enumeration Date 09/27/2007
Last Updated 09/14/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1208 WASHINGTON AVE
DETROIT LAKES MN, 56501-3906, US
Phone (218) 847-2809
Fax
Business Location
1208 WASHINGTON AVE
DETROIT LAKES MN, 56501-3906, US
Phone (218) 847-2809
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 2718
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According to our database, Dr. Jay W Johnson D.C. NPI is 1679760219, taxonomy code is 111N00000X and license number is 2718, license state is located at Minnesota. Jay W Johnson D.C. physically located at 1208 Washington Ave, Detroit Lakes MN, 56501-3906. NPI Number Jay W Johnson D.C. has the Individual type.

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1679760219 NPI number is provided on an as is basis without warranty of any kind. 1679760219 is maintained by the National Plan & Provider Enumeration System. The contents of Jay W Johnson D.C. are for informational purposes only.