Organization
NORTHERN FAMILY CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA LEA JOHNSON DC (OWNER)
(218) 822-3855
Entity
Organization
Contact information
Practice address
13968 CYPRESS DR, STE 1B, BAXTER, MN 56425-5903
(218) 822-3855
(218) 822-3854
Mailing address
13968 CYPRESS DR, STE 1B, BAXTER, MN 56425-5903
(218) 822-3855
(218) 822-3854
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4421
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088450200
—
MN
Enumeration date
07/19/2007
Last updated
08/28/2013
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