Search › Minnesota › 173000000X
Mark Johnson, M.D
NPI 1275612624 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2104 Oliver Ave S
Minneapolis, MN 55405 - Phone
- (612) 377-6084
Registry record
- Primary taxonomy
- 173000000X
173000000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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