Robert Johnson is a Specialist based in Eden Prairie, MN. Robert Johnson practices in Minneapolis, MN. The NPI Number for Robert Johnson is 1740224732 and holds a License No. 22027 (Minnesota).
The current practice location address for Robert Johnson is 5 W Lake St, Minneapolis, MN and can be reached out via phone at 612-545-9000.
Location: 5 W Lake St, Minneapolis, MN, 55346-4345
Provider Profile Details
NPI Number
1740224732
Provider Name
Robert Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5 W Lake St, Minneapolis, MN, 55346-4345
Phone Number
612-545-9000
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589790400 | 05 | MN |
Provider Business Practice Location Address Details
Address
5 W Lake St
City
State
Zip
55408-3117
Phone Number
612-545-9000
Fax Number
Provider Business Mailing Address Details
Address
5 W Lake St
City
State
Zip
55408-3117
Phone Number
612-545-9000
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
22027 (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.
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