Individual
MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 CLIFF RD STE 14, EAGAN, MN 55122-2574
(651) 493-6699
(651) 494-9056
Mailing address
1565 CLIFF RD STE 14, EAGAN, MN 55122-2574
(651) 493-6699
(651) 494-9056
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
265411921234
MN
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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