Individual
CARLY KRISTIN MARTHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7373 FRANCE AVE S STE 208, EDINA, MN 55435-4598
(952) 835-1311
(952) 428-0095
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14497
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/03/2021
Last updated
02/27/2025
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