Individual
ALAN STUART JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 COON RAPIDS BLVD NW, SUITE 104, COON RAPIDS, MN 55433-2569
(763) 236-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32879
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444273300
—
MN
Enumeration date
04/04/2006
Last updated
10/19/2011
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