Individual
LIBERTY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 HIGHWAY 59 S STE A, THIEF RIVER FALLS, MN 56701-3413
(218) 681-0449
Mailing address
1511 HIGHWAY 59 S STE A, THIEF RIVER FALLS, MN 56701-3413
(218) 681-0449
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4989
MN
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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