Individual
JOHNATHAN R FURZLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
7936 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(952) 417-6865
(612) 428-4216
Mailing address
7936 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(952) 417-6865
(612) 428-4216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1920040
MN
Other
Enumeration date
02/03/2015
Last updated
07/19/2024
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