Individual
DR. THOMAS HAGGE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SAINT JOHNS BLVD STE 200, MAPLEWOOD, MN 55109-1190
(651) 326-4327
(651) 326-8171
Mailing address
1600 SAINT JOHNS BLVD STE 200, MAPLEWOOD, MN 55109-1190
(651) 236-4327
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31296
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277865300
—
MN
05
—
31522300
—
WI
Enumeration date
03/21/2006
Last updated
01/08/2024
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