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Organization
JOHNSON HEALTHCARE ASSOCIATES INC
Active
Organization
JOHNSON HEALTHCARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ART FRETAG (BUSINESS MANAGER)
(612) 782-0900
Entity
Organization
Contact information
Practice address
2904 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2234
(612) 782-0900
(612) 788-4930
Mailing address
2904 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2234
(612) 782-0900
(612) 788-4930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01023902
PREFERRED ONE
MN
01
—
0111978
MEDICA
MN
05
—
038417100
—
MN
01
—
1120003
METROPOLITAN HEALTH PLAN
MN
05
—
145130800
—
MN
01
—
55N80JO
BLUES
MN
01
—
70296
HEALTHPARTNERS
MN
01
—
CB6880
RAILROAD MEDICARE
MN
01
—
P477
UCARE
MN
Enumeration date
04/07/2006
Last updated
06/10/2008
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