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Individual

BARBARA ANN JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4737 COUNTY ROAD 101, STE 124, MINNETONKA, MN 55345-2634
(612) 710-3671
(763) 295-4946
Mailing address
4737 COUNTY ROAD 101, STE 124, MINNETONKA, MN 55345-2634
(612) 710-3671
(763) 295-4946

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40019
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137T1J0
BCBS OF MN
MN
01
1564702
MEDICA
MN
Enumeration date
11/16/2005
Last updated
07/08/2007
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