Individual
DR. DAVID VERNON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4316 UPTON AVE S, SUITE # 200, MINNEAPOLIS, MN 55410-1504
(612) 927-9838
(612) 928-9649
Mailing address
4316 UPTON AVE S, SUITE # 200, MINNEAPOLIS, MN 55410-1563
(612) 927-9838
(612) 928-9649
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-82585
MEDICA PROVIDER #
MN
01
—
71639-JO
BCBS PROVIDER ID
MN
Enumeration date
04/09/2007
Last updated
07/09/2007
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