Individual
DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
25 1ST AVE NE, 100, BUFFALO, MN 55313-1568
(763) 682-3005
Mailing address
510 BRISBIN ST, ANOKA, MN 55303-5231
(763) 248-1522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-209593-2
MN
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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