Search › Minnesota › 207RP1001X
Jeffrey Johnson, MD
NPI 1659548162 · on the registry since 2008
Practice
- Address
- 3931 Louisiana Ave S
St Louis Park, MN 55426 - Phone
- (952) 993-3123
- Fax
- (612) 630-8242
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 162
Additional practice sites
- 701 Park Ave South - Lsb 2, Minneapolis, MN
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-23
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