DR. Keith Michael Johnson, DC

NPI #1568553147 in Maple Grove, Minnesota

Provider Information

NPI Number: 1568553147
Entity Type: Individual
Name: DR. Keith Michael Johnson, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 13700 83RD WAY N
Address 2: #200
City: Maple Grove
State: Minnesota
ZIP Code: 55369-7015
Phone: (763) 420-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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