Individual
ANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 E 28TH ST # MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77360
MN
208000000X
Pediatrics Physician
77360
MN
Other
Enumeration date
04/04/2020
Last updated
02/07/2025
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