Individual
DR. MONTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42662
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203618500
—
MN
01
—
39-22239
MEDICA U/C
—
01
—
620K7JO
BCBS
—
01
—
HP35367
HEALTH PARTNERS
—
Enumeration date
06/06/2006
Last updated
05/13/2016
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