| NPI | 1083853410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BENJAMIN JOHNSON Chiropractor 952-926-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5178) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2020-12-02 |