Dustin P Johnson (NPI# 1770841405, PAC ID# 8022264357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1770841405 |
| PAC ID by PECOS | 8022264357 |
| Professional Enrollment ID | I20140925002094 |
| Full Name | Dustin P Johnson |
| Organization Legal Name | DETROIT LAKES CHIROPRACTIC, PC |
| Address |
213 State St W Detroit Lakes MN 56501-3005 |
| Phone Number | 2188474366 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2012 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3072846195 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 213 State St W, Detroit Lakes, MN 56501-3005 | 2188474366 | DETROIT LAKES CHIROPRACTIC, PC |
| Organization Legal Name | DETROIT LAKES CHIROPRACTIC, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Wilson | Chiropractic | Detroit Lakes Chiropractic, PC | 213 State St W, Detroit Lakes, MN 56501-3005 |
| Street Address |
213 STATE ST W |
| City | DETROIT LAKES |
| State | MN |
| Zip | 56501-3005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Wilson | Chiropractic | Detroit Lakes Chiropractic, PC | 213 State St W, Detroit Lakes, MN 56501-3005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul W Bender | Chiropractic | 119 Washington Ave, Detroit Lakes, MN 56501-2403 | |
| Juihsien Kao | Psychologist, Clinical | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Tessie Blake | Psychologist, Clinical | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Mary Lindstrom Amundson | Clinical Social Worker | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Chad C Erickson | Psychiatry | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Audrey A Kolnes | Clinical Social Worker | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Wanda J Dahlen | Psychologist, Clinical | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Idriz Kovacevic I | Sleep Medicine | Whitney Sleep Diagnostics and Consultants, LLC | 712 Washington Ave, Detroit Lakes, MN 56501-3012 |
| Robert T Mccamy | Optometry | Midwest Vision Centers Inc | 830 Washington Ave, Detroit Lakes, MN 56501-3014 |
| Paige W Hardy | Certified Nurse Midwife | Mahube-otwa Community Action Partnership | 119 Graystone Plz, Suite 110, Detroit Lakes, MN 56501-3034 |
| Find all physicians in zip 56501 | |||
| City | DETROIT LAKES |
| Zip Code | 56501 |
| Specialty | CHIROPRACTIC |
| City + Specialty | DETROIT LAKES + CHIROPRACTIC |
Please comment or provide details below to improve the information on Dustin P Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.