Individual
DR. ROBERT SIDNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3620 BEMIDJI AVE N, BEMIDJI, MN 56601-4333
(218) 751-5145
(218) 444-2480
Mailing address
3620 BEMIDJI AVE N, BEMIDJI, MN 56601-4333
(218) 751-5145
(218) 444-2480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001724
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17453
BLUE CROSS BLUE SHEILD ND
MN
01
—
82386JO
BLUE CROSS BLUE SHEILD MN
MN
Enumeration date
10/19/2007
Last updated
10/19/2007
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