Individual
JEAN ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 10TH AVE NE, BRAINERD, MN 56401-2539
(218) 829-9486
Mailing address
815 10TH AVE NE, BRAINERD, MN 56401-2539
(218) 829-9486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30750
MN
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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