Individual
JENNIFER SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48753
MN
Other
Enumeration date
06/06/2007
Last updated
09/17/2020
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