Individual
DR. HEATHER CHRISTINE JOHNSON SERUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(651) 688-7864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51377
MN
208000000X
Pediatrics Physician
51377
MN
Other
Enumeration date
06/05/2007
Last updated
10/01/2019
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