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NPI Code Detail

MEDICARE: DR. JOHN HARLAN SAMPSON DC

MEDICARE: DR. JOHN HARLAN SAMPSON DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1895MN

General Provider Information

NPI Number : 1841317120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN HARLAN SAMPSON DC
Provider Business Mailing Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number : 612-873-3000
Fax Number :
Provider Business Practice Location Address
First Line : 7650 ZANE AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-3151
Country : US
Telephone Number : 612-873-6963
Fax Number : 612-873-1920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 09/16/2024

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Directions to “ DR. JOHN HARLAN SAMPSON DC” Practice Location

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