Organization
TERRANCE JOHNSON ORTHOPEDIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA K DREWS (CLAIMS MGR)
(218) 751-9746
Entity
Organization
Contact information
Practice address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 751-9746
(218) 759-0620
Mailing address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 751-9746
(218) 759-0620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22385
MN
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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