Individual
DR. DOROTHEA DAVID JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
366 PRIOR AVE N, SAINT PAUL, MN 55104-5165
(651) 647-1733
Mailing address
1661 ENGLEWOOD AVE, SAINT PAUL, MN 55104-1114
(651) 647-1733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2035
MN
Other
Enumeration date
07/13/2009
Last updated
07/14/2009
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