Search › Minnesota › 163WM0705X
Mbuotidem Johnson
NPI 1518803634 · on the registry since 2026
Practice
- Address
- 4621 Snelling Ave Apt 307
Minneapolis, MN 55406 - Phone
- (678) 787-8059
Registry record
- Primary taxonomy
- 163WM0705X
163WM0705X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-29
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