Individual
ELGIN BRUCE JOHNS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPN PHYSICIAN EXTEND
Contact information
Practice address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Mailing address
101 WILLMAR AVE SW, ACMC, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0354989
MN
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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