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Individual

DR. ERIC AUSTIN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
202 N 24TH AVE E, DULUTH, MN 55812-1859
(320) 983-5728
(218) 481-0325
Mailing address
202 N 24TH AVE E, DULUTH, MN 55812-1859
(320) 983-5728
(218) 481-0325

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41189
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
703522500
MN
Enumeration date
10/23/2006
Last updated
01/02/2020
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