Wellnessone of Crosslake

NPI #1396795092 in Crosslake, Minnesota

Provider Information

NPI Number: 1396795092
Entity Type: Organization
Organization Name: Wellnessone of Crosslake
Primary Specialty: Chiropractor
Enumeration Date: May 11, 2006
Last Updated: Dec 7, 2007

Practice Location

Address: 35272 COUNTY ROAD 3
City: Crosslake
State: Minnesota
ZIP Code: 56442-2804
Phone: (218) 692-3700

Authorized Official

Name: DR. DERREK N JOHNSON, D.C.
Title: OWNER/PRESIDENT
Phone: (218) 692-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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