Search › Minnesota › 1223S0112X
Michael Johnson, D.M.D
NPI 1073860854 · on the registry since 2012
Practice
- Address
- 540 Lake St # 1000
Excelsior, MN 55331 - Phone
- (801) 471-8311
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- WA, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-11
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