Individual provider · Type 1 NPI

Mark Robert Johnson, DC

Chiropractor · Roseville, MN

NPI number 1225189533 Active

Practice location

2780 Snelling Ave N, Suite 301
Roseville, MN 55113-7115

Fax (651) 633-4203

Mailing address

408 4th Ave NE
Osseo, MN 55369-1122

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2010 (MN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1225189533

Mark Robert Johnson, DC's National Provider Identifier is 1225189533, issued on Jan 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Roseville, MN. The record was last updated on Jul 8, 2007.