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Miss Elise H Johnson, MD
General Practice Physician in Shoreview, Minnesota
NPI 1427317023

Elise H Johnson is a General Practice Physician based in Colorado Springs, MN. Elise H Johnson practices in Shoreview, MN and has the professional credentials of MD. The NPI Number for Elise H Johnson is 1427317023 and holds a License No. 56936 (Minnesota).

The current practice location address for Elise H Johnson is 4194 Lexington Ave N, Shoreview, MN and can be reached out via phone at 651-483-5461.

Location: 4194 Lexington Ave N, Shoreview, MN, 80906-7624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427317023
Provider Name
Elise H Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4194 Lexington Ave N, Shoreview, MN, 80906-7624
Phone Number
651-483-5461
Fax Number
Provider Enumeration Date
05/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4194 Lexington Ave N
City
Shoreview
State
Minnesota
Zip
55126
Phone Number
651-483-5461
Fax Number
person
Provider Business Mailing Address Details
Address
4194 Lexington Ave N
City
Shoreview
State
Minnesota
Zip
55126
Phone Number
651-483-5461
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
56936 (Minnesota)
Definition
Definition to come...
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