Individual
DR. JANICE MAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1539 GRAND AVENUE, SAINT PAUL, MN 55105
(651) 698-3277
Mailing address
1539 GRAND AVENUE, SAINT PAUL, MN 55105
(651) 698-3277
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1707
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23377HA
BCBS
MN
Enumeration date
01/13/2007
Last updated
07/08/2007
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