Individual
MICHAEL RANDALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4040 RADIO DR, WOODBURY, MN 55129-3237
(651) 439-8807
(651) 439-0232
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
53585
MN
Other
Enumeration date
11/17/2007
Last updated
06/25/2024
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