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Individual

MR. MICHAEL RYAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-6551
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
24911.1170
WY
367500000X
Certified Registered Nurse Anesthetist
28200422A
IN
367500000X
Certified Registered Nurse Anesthetist
CR000833
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
NUR-APRN-LIC-101178
MT
367500000X
Certified Registered Nurse Anesthetist
R057004
ME

Other

Enumeration date
01/12/2012
Last updated
06/20/2023
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