Organization
NORTHERN ORTHOPEDICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN M JOHNSON (CLINIC ADMINISTRATOR)
(218) 829-7812
Entity
Organization
Contact information
Practice address
2014 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-7812
(218) 829-9751
Mailing address
2014 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-7812
(218) 829-9751
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738710500
—
MN
Enumeration date
02/01/2007
Last updated
05/14/2013
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