person
Richard E Johnson, PA
Surgical Physician Assistant in Duluth, Minnesota
NPI 1679579429

Richard E Johnson is a Surgical Physician Assistant based in Duluth, MN and is specialized in Surgical. Richard E Johnson practices in Duluth, MN and has the professional credentials of PA. The NPI Number for Richard E Johnson is 1679579429 and holds a License No. 8860 (Minnesota).

The current practice location address for Richard E Johnson is 1000 E 1St St, Duluth, MN and can be reached out via phone at 218-722-5513 and via fax at 218-722-6515.

Location: 1000 E 1St St, Duluth, MN, 55805-2297
person
Provider Profile Details
NPI Number
1679579429
Provider Name
Richard E Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1000 E 1St St, Duluth, MN, 55805-2297
Phone Number
218-722-5513
Fax Number
218-722-6515
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73A56J0 01 MN BLUE SHIELD
983271008414 01 MN PREFERREDONE
institution
Provider Business Practice Location Address Details
Address
1000 E 1St St
City
State
Zip
55805-2297
Phone Number
218-722-5513
Fax Number
218-722-6515
person
Provider Business Mailing Address Details
Address
1000 E 1St St
City
State
Zip
55805-2297
Phone Number
218-722-5513
Fax Number
218-722-6515
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
8860 (Minnesota)
Definition
Definition to come...
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