Individual
SHARON M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
6490 EXCELSIOR BLVD, STE W505, ST LOUIS PARK, MN 55426-4705
(952) 993-6200
Mailing address
6465 WAYZATA BLVD, STE 210, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1909
MN
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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