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Individual

DR. JAMIE ANN JOHANNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
200 E PRINCE ST, LAKE CRYSTAL, MN 56055-2043
(952) 200-5784
Mailing address
200 E PRINCE ST, LAKE CRYSTAL, MN 56055-2043
(507) 726-6966
(507) 726-6939

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51951
MN

Other

Enumeration date
04/29/2008
Last updated
09/17/2020
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