Individual
IAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1700 UNIVERSITY AVE W, 6TH FLOOR, SAINT PAUL, MN 55104-3727
(651) 232-2273
(651) 232-4953
Mailing address
1700 UNIVERSITY AVE W, 6TH FLOOR, SAINT PAUL, MN 55104-3727
(651) 232-2273
(651) 232-4953
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1375
MN
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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