Individual
MR. THOMAS CHARLES JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP, BC
Contact information
Practice address
333 WASHINGTON AVE N, MINNEAPOLIS, MN 55401-1377
(443) 562-9455
Mailing address
303 N MONASTERY AVE, BALTIMORE, MD 21229-3036
(410) 945-9531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R147881
MD
Other
Enumeration date
10/03/2006
Last updated
02/05/2009
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