Individual
ELIZABETH ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3800 PARK NICOLLET BLVD, INTERNATIONAL DIABETES CENTER, MINNEAPOLIS, MN 55416-2527
(952) 993-0667
Mailing address
3800 PARK NICOLLET BLVD, MAIL STOP 61N06A, MINNEAPOLIS, MN 55416-2527
(952) 993-0667
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3783
MN
Other
Enumeration date
05/10/2017
Last updated
11/06/2018
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