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Individual

MARTHA ARLENE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1430 NORTH HIGHWAY, JACKSON MEDICAL CENTER, JACKSON, MN 56143-1093
(507) 847-2420
(507) 847-3728
Mailing address
1430 NORTH HIGHWAY, JACKSON, MN 56143-1093
(507) 847-2420
(507) 847-3728

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9203
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
749672900
MN
Enumeration date
06/14/2006
Last updated
03/30/2022
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