Individual
DR. SHELBY ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-2908
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
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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