Individual
DR. TIMOTHY DAYLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18 MAIN STREET NORTH, NEW YORK MILLS, MN 56567-0149
(218) 385-3859
(218) 385-3859
Mailing address
PO BOX 149, NEW YORK MILLS, MN 56567-0149
(218) 385-3859
(218) 385-3859
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-3903
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305468300
—
MN
Enumeration date
11/15/2006
Last updated
07/08/2007
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