Individual
MR. MICHAEL GENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8001 HIGHWAY 7, SUITE 100, ST LOUIS PARK, MN 55426
(952) 932-7215
(952) 936-9881
Mailing address
8001 HIGHWAY 7, SUITE 100, ST LOUIS PARK, MN 55426
(952) 932-7215
(952) 936-9881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10999
MN
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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