Organization
JOHNSON CHIROPRACTIC CLINIC OF MAPLE GROVE, INC
Active
Organization
JOHNSON CHIROPRACTIC CLINIC OF MAPLE GROVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH MICHAEL JOHNSON DC (PRESIDENT)
(763) 420-4242
Entity
Organization
Contact information
Practice address
13700 83RD WAY N STE 200, MAPLE GROVE, MN 55369-7015
(763) 420-4242
Mailing address
13700 83RD WAY N STE 200, MAPLE GROVE, MN 55369-7015
(763) 420-4242
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1844
MN
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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