Individual
JAY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7373 FRANCE AVE S, SUITE 312, EDINA, MN 55435-4534
(952) 832-0076
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
35274
MN
Other
Enumeration date
01/30/2006
Last updated
09/25/2008
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