Individual
CARMEN LEAH JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2121
Mailing address
315 N OAK BEND DR, DULUTH, MN 55811-5223
(218) 729-8883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44732
MN
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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