Individual
MAIJA LIV JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3316 W 66TH ST, EDINA, MN 55435-2532
(952) 920-3808
(952) 920-8899
Mailing address
100 WOODRUFF CIR NE STE P375, ATLANTA, GA 30322-1020
(404) 727-5655
(404) 727-0045
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
78808
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2018
Last updated
08/12/2025
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