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Dr. Eric Matthew Johnson, MD
Specialist in Minneapolis, Minnesota
NPI 1811949498

Eric Matthew Johnson is a Specialist based in Saint Paul, MN. Eric Matthew Johnson practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Eric Matthew Johnson is 1811949498 and holds a License No. 36808 (Minnesota).

The current practice location address for Eric Matthew Johnson is 2545 Chicago Ave, Minneapolis, MN and can be reached out via phone at 612-863-7770 and via fax at 612-863-7772.

Location: 2545 Chicago Ave, Minneapolis, MN, 55105-1237
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Provider Profile Details
NPI Number
1811949498
Provider Name
Eric Matthew Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2545 Chicago Ave, Minneapolis, MN, 55105-1237
Phone Number
612-863-7770
Fax Number
612-863-7772
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07D69JO 01 MN BLUE CROSS BLUE SHIELD
32072100 01 MN WISCONSIN MA
HP28250 01 MN HEALTHPARTNERS
107252D417 01 MN UCARE
1711761 01 MN MEDICA
845718200 05 MN
institution
Provider Business Practice Location Address Details
Address
2545 Chicago Ave
City
State
Zip
55404-4522
Phone Number
612-863-7770
Fax Number
612-863-7772
person
Provider Business Mailing Address Details
Address
2545 Chicago Ave
City
State
Zip
55404-4522
Phone Number
612-863-7770
Fax Number
612-863-7772
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
36808 (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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