SearchMinnesotaMedical Physician Assistant

Tyler Johnson, PA-C

NPI 1003362914 · on the registry since 2016

Practice

Address
675 Water St
Excelsior, MN 55331
Phone
(952) 906-7855
Organisation at this address
Ridgeview Clinics
Ridgeview Clinics
Ridgeview Clinics
Tcm Wellness Clinic Llc
Minnesota Otolaryngology, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 560 S Maple St Ste 400, Waconia, MN

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota