Individual
JARED JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(651) 999-6800
(833) 905-0989
Mailing address
3001 METRO DR STE 460, BLOOMINGTON, MN 55425-1548
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
79704
MN
Other
Enumeration date
04/21/2020
Last updated
07/17/2025
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