Individual
LOGAN DARWOOD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-1811
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F08230213
MN
Other
Enumeration date
04/11/2024
Last updated
05/08/2024
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