Individual
LEROY JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 23RD ST NW, STEWARTVILLE, MN 55976-1026
(507) 261-1668
Mailing address
319 23RD ST NW, STEWARTVILLE, MN 55976-1026
(507) 261-1668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-165015-8
MN
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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