Individual
DR. JAY W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1208 WASHINGTON AVE, DETROIT LAKES, MN 56501-3906
(218) 847-2809
Mailing address
1208 WASHINGTON AVE, DETROIT LAKES, MN 56501-3906
(218) 847-2809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2718
MN
Other
Enumeration date
09/27/2007
Last updated
09/14/2009
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