Individual
DR. MICHAEL SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
400 SELBY AVE, SUITE N, SAINT PAUL, MN 55102-4508
(651) 735-1088
(651) 735-2505
Mailing address
400 SELBY AVE, SUITE N, SAINT PAUL, MN 55102-4508
(651) 735-1088
(651) 735-2505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3989
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D14FA
BCBS PROVIDER ID
MN
Enumeration date
01/05/2007
Last updated
01/20/2022
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