Search › Minnesota › 106H00000X
Stacy Johnson, B.S
NPI 1588844898 · on the registry since 2007
Practice
- Address
- 7527 Mitchell Road
100
Eden Prairie, MN 55344 - Phone
- (952) 228-2282
- Fax
- (952) 224-2284
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-27
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