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Organization
JOHNSON NATURAL HEALTH CARE PA
Active
Organization
JOHNSON NATURAL HEALTH CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY WESLEY JOHNSON DC (PRESIDENT)
(218) 847-2809
Entity
Organization
Contact information
Practice address
1208 WASHINGTON AVE, DETROIT LAKES, MN 56501-3906
(218) 847-2809
Mailing address
1208 WASHINGTON AVE, DETROIT LAKES, MN 56501-3906
(218) 847-2809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64868JO
BLUE CROSS BLUE SHIELD
MN
05
—
8347280
—
MN
Enumeration date
02/28/2007
Last updated
09/05/2007
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