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Organization

METROCENTER CHIROPRACTIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK A JOHNSON DC (OWNER CHIROPRACTOR)
(612) 332-8292
Entity
Organization

Contact information

Practice address
825 NICOLLET MALL SUITE #1845, METROCENTER CHIROPRACTIC PA, MINNEAPOLIS, MN 55402
(612) 332-8292
(612) 332-5972
Mailing address
825 NICOLLET MALL SUITE #1845, MINNEAPOLIS, MN 55402
(612) 332-8292
(612) 332-5972

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3167
MN
111N00000X
Chiropractor
4790
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055215100
MN
Enumeration date
05/09/2008
Last updated
05/20/2008
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