Individual
DANIELLE ARISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON STREET, ST. PAUL, MN 55101-2502
(651) 254-3456
(651) 254-9673
Mailing address
PO BOX 1309, 8170 33RD AVE S MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11650
MN
363A00000X
Physician Assistant
2127
MN
Other
Enumeration date
07/28/2014
Last updated
09/18/2015
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