Individual
DR. DERREK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5482 COUNTY ROAD 18, NISSWA, MN 56468
(218) 963-3311
(218) 963-3313
Mailing address
PO BOX 379, NISSWA, MN 56468-0379
(218) 963-3311
(218) 963-3313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4116
MN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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