Randy Robert Johnson, DC Valid NPI
Individual provider · Chiropractor · Glencoe, MN
- NPI
- 1124180450
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 4635 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-14
- Last updated
- 2007-07-08
Practice location
1706 East Tenth Street, Gauer Chiropractic Clinic
Glencoe, MN 55336
(320) 864-3196