Individual
BRADFORD V JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6545 FRANCE AVE S, SUITE 150, EDINA, MN 55435-2131
(952) 848-5600
(952) 848-5660
Mailing address
6545 FRANCE AVE S, SUITE 150, EDINA, MN 55435-2131
(952) 848-5600
(952) 848-5660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50014
MN
2083P0901X
Public Health & General Preventive Medicine Physician
50014
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402683200
—
MN
Enumeration date
06/05/2007
Last updated
11/17/2023
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