Individual
CHRISTOPHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, METHODIST HOSPITAL, ST LOUIS PARK, MN 55426
(952) 993-6080
(952) 993-6047
Mailing address
7301 OHMS LANE, STE 650, EDINA, MN 55439
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45556
MN MEDICAL LICENSE
MN
05
—
749482300
—
MN
Enumeration date
03/31/2006
Last updated
04/09/2021
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