Individual
CHAD YANCY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 273-3000
Mailing address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8763
MN
Other
Enumeration date
05/02/2011
Last updated
06/07/2011
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