Organization
NEWTON H JOHNSON
Active
Other names
NeuroMed
Organization subpart
No
Provider details
NPI number
Authorized official
NEWTON H JOHNSON (OWNER)
(952) 470-8818
Entity
Organization
Contact information
Practice address
80 FLORENCE DR, EXCELSIOR, MN 55331-8538
(952) 470-8818
(952) 470-6936
Mailing address
80 FLORENCE DR, EXCELSIOR, MN 55331-8538
(952) 470-8818
(952) 470-6936
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0590828
—
IA
05
—
10024965300
—
NE
05
—
30762422
—
NH
05
—
41695700
—
WI
05
—
5711339
—
MN
01
—
7G837NE
BCBS MN
MN
Enumeration date
09/23/2005
Last updated
04/20/2008
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