Individual
MARY TAHNK-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6490 EXCELSIOR BLVD, STE W300, ST LOUIS PARK, MN 55426-4705
(952) 993-4705
Mailing address
6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
32922
MN
Other
Enumeration date
12/30/2005
Last updated
10/12/2011
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