Search › Minnesota › 2085R0202X
Blake Johnson, MD
NPI 1811964174 · on the registry since 2006
Practice
- Address
- 5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416 - Phone
- (952) 541-1840
- Fax
- (952) 513-6880
- Organisation at this address
- Intrepid Usa
Soar Health, Inc.
Healthier People Llc
Cdi Twin Cities Asc Llc
Mincep Epilepsy Care PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 67
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-17
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