Individual
SARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3033 EXCELSIOR BLVD, SUITE 275, MINNEAPOLIS, MN 55416-4688
(612) 827-4751
(612) 827-7768
Mailing address
3033 EXCELSIOR BLVD, SUITE 275, MINNEAPOLIS, MN 55416-4688
(612) 827-4751
(612) 827-7768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49763
MN
Other
Enumeration date
11/05/2007
Last updated
03/21/2012
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