Individual
BO JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9300 HENNEPIN TOWN RD STE 110, EDEN PRAIRIE, MN 55347-3072
(651) 280-8774
(844) 479-8458
Mailing address
9300 HENNEPIN TOWN RD STE 110, EDEN PRAIRIE, MN 55347-3072
(651) 280-8774
(844) 479-8458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2484148
MN
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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