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Individual

DR. JEFFREY EARL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
69040
MN
208600000X
Surgery Physician
A129173
CA

Other

Enumeration date
06/03/2014
Last updated
08/18/2021
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