Search › Minnesota › 152W00000X
Timothy Johnson, O.D
NPI 1871629170 · on the registry since 2007
Practice
- Address
- 12771 Riverdale Blvd Nw Ste 103
Coon Rapids, MN 55448 - Phone
- (763) 421-1220
- Organisation at this address
- Jd Eyes, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 570 Northtown Dr Ne, Blaine, MN
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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