Individual
SUSAN CATHERINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 CHICAGO AVE STE 550, MINNEAPOLIS, MN 55404-4293
(612) 813-8000
Mailing address
2530 CHICAGO AVE STE 550, MINNEAPOLIS, MN 55404-4293
(612) 813-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8605
MN
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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