Individual
DR. CHANCE MACAULEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8441 WAYZATA BLVD STE 125, GOLDEN VALLEY, MN 55426-1378
(615) 796-1348
Mailing address
2859 RIVERBANK DR NW, ISANTI, MN 55040-4326
(615) 796-1348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6724
MN
Other
Enumeration date
09/09/2020
Last updated
10/20/2020
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