Individual
FILIP LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
251 COUNTY ROAD 120, SUITE A, ST CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Mailing address
251 COUNTY ROAD 120, SUITE A, ST CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7059
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157T3JO
BLUE CROSS BLUE SHIELD
MN
01
—
264M1NO
BLUE CROSS BLUE SHIELD OF MN
MN
05
—
298643400
—
MN
01
—
64-03447
MEDICA
MN
01
—
6403447
SELECT CARE
MN
01
—
HP35412
HEALTHPARTNERS
MN
Enumeration date
07/17/2006
Last updated
08/19/2013
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