Individual
BRANDON M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(952) 883-6193
Mailing address
1250 EMERALD LN, SHAKOPEE, MN 55379-2741
(763) 607-5663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2466446
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
3165
MN
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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