Individual
DR. RANDY ROY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10600 SOUTH AVE, CHISAGO CITY, MN 55013-9577
(651) 257-1559
Mailing address
10600 SOUTH AVE, P.O. BOX 426, CHISAGO CITY, MN 55013-9577
(651) 257-1559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2325
MN
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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