Organization
METRO MN PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BETH JOHNSON NP (OWNER)
(763) 951-2308
Entity
Organization
Contact information
Practice address
3260 COUNTY ROAD 10, SUITE G, BROOKLYN CENTER, MN 55429-3076
(763) 951-2308
(763) 951-2378
Mailing address
3260 COUNTY ROAD 10, SUITE G, BROOKLYN CENTER, MN 55429-3076
(763) 951-2308
(763) 951-2378
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
4713271
MN
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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