Organization
A CENTER FOR CHIROPRACTIC AND ACUPUNTURE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LYNN JOHNSON (ADMINISTRATOR)
(651) 739-2225
Entity
Organization
Contact information
Practice address
1803 WOODLANE DR, WOODBURY, MN 55125-2910
(651) 739-2225
(651) 739-3313
Mailing address
1803 WOODLANE DR, WOODBURY, MN 55125-2910
(651) 739-2225
(651) 739-3313
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3627687
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769984100
—
MN
Enumeration date
10/25/2006
Last updated
02/09/2017
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