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Dr. Bradley D Johnson, DO
Otolaryngology/Facial Plastic Surgery Physician in Robbinsdale, Minnesota
NPI 1538130844

Bradley D Johnson is a Otolaryngology/Facial Plastic Surgery Physician based in Robbinsdale, MN and is specialized in Otolaryngology/Facial Plastic Surgery. Bradley D Johnson practices in Robbinsdale, MN and has the professional credentials of DO. The NPI Number for Bradley D Johnson is 1538130844 and holds a License No. 45555 (Minnesota).

The current practice location address for Bradley D Johnson is 3366 Oakdale Ave N, Robbinsdale, MN and can be reached out via phone at 763-520-7840 and via fax at 763-520-1578.

Location: 3366 Oakdale Ave N, Robbinsdale, MN, 55422-2948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538130844
Provider Name
Bradley D Johnson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3366 Oakdale Ave N, Robbinsdale, MN, 55422-2948
Phone Number
763-520-7840
Fax Number
763-520-1578
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
323630700 05 MN
institution
Provider Business Practice Location Address Details
Address
3366 Oakdale Ave N
City
Robbinsdale
State
Minnesota
Zip
55422-2948
Phone Number
763-520-7840
Fax Number
763-520-1578
person
Provider Business Mailing Address Details
Address
3366 Oakdale Ave N
City
Robbinsdale
State
Minnesota
Zip
55422-2948
Phone Number
763-520-7840
Fax Number
763-520-1578
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
45555 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
45555 (Minnesota)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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