Wellnessone of Nisswa

NPI #1578646360 in Nisswa, Minnesota

Provider Information

NPI Number
1578646360
Entity Type
Organization
Organization Name
Wellnessone of Nisswa
Primary Specialty
Chiropractor
Enumeration Date
Oct 23, 2006
Last Updated
Jul 24, 2007

Practice Location

Address
5482 COUNTY RD. 18
City
Nisswa
ZIP Code
56468
Phone
(218) 963-3311

Authorized Official

Name
DR. DERREK JOHNSON, D.C.
Title
OWNER
Phone
(218) 963-3311

Specialties & Taxonomy Codes

Specialty
Chiropractor

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