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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