Individual
KEARY LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1324 5TH ST N, NEW ULM, MN 56073
(507) 217-5000
Mailing address
P.O. BOX 43, ROUTE 10860, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(330) 580-5513
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
57.026963
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
65868
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2015
Last updated
02/01/2023
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