Individual
SUSAN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 722-1497
Mailing address
3600 TOWER AVE, SUPERIOR, WI 54880
(715) 395-5361
(715) 395-5388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
527525
MN
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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