Individual
DUSTIN PAUL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
213 STATE ST W, DETROIT LAKES, MN 56501-3005
(218) 847-4366
(218) 847-1838
Mailing address
213 STATE ST W, DETROIT LAKES, MN 56501-3005
(218) 847-4366
(218) 847-1838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5660
MN
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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