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Dr. Randy Robert Johnson, DC
Chiropractor in Glencoe, Minnesota
NPI 1124180450

Randy Robert Johnson is a Chiropractor based in Glencoe, MN. Randy Robert Johnson practices in Glencoe, MN and has the professional credentials of DC. The NPI Number for Randy Robert Johnson is 1124180450 and holds a License No. 4635 (Minnesota).

The current practice location address for Randy Robert Johnson is 1706 East Tenth Street, Glencoe, MN and can be reached out via phone at 320-864-3196 and via fax at 320-864-3197.

Location: 1706 East Tenth Street, Glencoe, MN, 55336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124180450
Provider Name
Randy Robert Johnson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1706 East Tenth Street, Glencoe, MN, 55336
Phone Number
320-864-3196
Fax Number
320-864-3197
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30701128 01 PRIME WEST
869035 01 MN AMERICAS PPO
649104 01 MN CHIROPRACTIC CARE OF MINN
370K6J0 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
1706 East Tenth Street
City
Glencoe
State
Minnesota
Zip
55336
Phone Number
320-864-3196
Fax Number
320-864-3197
person
Provider Business Mailing Address Details
Address
1706 East Tenth Street
City
Glencoe
State
Minnesota
Zip
55336
Phone Number
320-864-3196
Fax Number
320-864-3197
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4635 (Minnesota)
Definition
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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