Organization
MEDICAL CARE SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER ALLAN JOHNSON MD (VP)
(612) 706-9630
Entity
Organization
Contact information
Practice address
900 LONG LAKE RD, STE 106, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
(612) 706-9617
Mailing address
900 LONG LAKE RD, STE 106, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
(612) 706-9617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1490
MN
Other
Enumeration date
12/20/2006
Last updated
12/14/2021
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