Individual
KIRSTEN LEE JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415
(612) 873-3000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
64473
MN
Other
Enumeration date
11/21/2006
Last updated
03/05/2024
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