Individual
MICHAEL D JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, APRN, CRNP
Contact information
Practice address
5300 ALPINE DR NW, RAMSEY, MN 55303-4778
(763) 236-0000
(763) 236-0025
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1236271
MN
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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