Individual
DR. CRAIG STEVEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
93 OAK AVE S, SUITE 2, ANNANDALE, MN 55302-1205
(612) 298-0792
Mailing address
PO BOX 95, ANNANDALE, MN 55302-0095
(612) 298-0792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5421
MN
Other
Enumeration date
08/11/2010
Last updated
06/10/2011
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