Individual
JILL B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7760 FRANCE AVE S, SUITE 310, MINNEAPOLIS, MN 55435-5800
(952) 897-1175
(952) 897-1178
Mailing address
3601 W 76TH ST, STE 300, EDINA, MN 55435-3004
(952) 897-1175
(952) 897-1178
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35138
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
35138
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227095100
—
MN
05
—
31782200
—
WI
Enumeration date
10/12/2005
Last updated
08/20/2020
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