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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