Individual
CYBELE D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1601 SAINT FRANCIS AVE, SUITE 100, SHAKOPEE, MN 55379-3383
(612) 428-3535
(612) 428-3599
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50015
MN
Other
Enumeration date
08/14/2007
Last updated
08/14/2013
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