Individual
JOHN R DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3060 WOODBURY DR, SUITE A, WOODBURY, MN 55129-9617
(651) 731-5124
(651) 731-0509
Mailing address
3060 WOODBURY DR, SUITE A, WOODBURY, MN 55129-9617
(651) 731-5124
(651) 731-0509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2274
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03N80DI
BCBS
MN
05
—
178827200
—
MN
Enumeration date
06/10/2006
Last updated
01/27/2010
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