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Individual

DR. SHELBY ELIZABETH JOHNSON

Active
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Individual

DR. SHELBY ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.069026
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
62752
MN
2081P0010X
Pediatric Rehabilitation Medicine Physician
62752
MN

Other

Enumeration date
03/28/2016
Last updated
07/21/2022
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