Individual
MRS. KYRSTEN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12000 ELM CREEK BLVD N, SUITE 250, MAPLE GROVE, MN 55369-7073
(952) 401-8300
(952) 401-8242
Mailing address
17705 HUTCHINS DR., # 250, MINNETONKA, MN 55345
(952) 401-8300
(952) 401-8242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60466
MN
Other
Enumeration date
04/02/2013
Last updated
09/19/2017
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