DR. Mark Robert Johnson, D.C.

NPI #1225189533 in Roseville, Minnesota

Provider Information

NPI Number: 1225189533
Entity Type: Individual
Name: DR. Mark Robert Johnson, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2780 SNELLING AVE N
Address 2: SUITE 301
City: Roseville
State: Minnesota
ZIP Code: 55113-7115
Phone: (651) 633-9667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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