Individual
GARY B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH, FACOEM
Contact information
Practice address
7700 FRANCE AVE S STE 240, EDINA, MN 55435-5878
(763) 201-8191
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-2684
(763) 201-8191
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
30125
MN
Other
Enumeration date
09/23/2006
Last updated
05/13/2021
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