Individual
LUKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 HAWTHORN ST, #105, ALEXANDRIA, MN 56308
(320) 763-9499
Mailing address
117 W 5TH ST, STARBUCK, MN 56381-2426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6933
MN
Other
Enumeration date
01/11/2022
Last updated
02/17/2022
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