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Dr. Roger A Johnson, MD
Specialist in Roseville, Minnesota
NPI 1841353596

Roger A Johnson is a Specialist based in Roseville, MN. Roger A Johnson practices in Roseville, MN and has the professional credentials of MD. The NPI Number for Roger A Johnson is 1841353596 and holds a License No. 017731 (Minnesota).

The current practice location address for Roger A Johnson is 2233 Hamline Ave N, Roseville, MN and can be reached out via phone at 651-634-4002 and via fax at 651-634-4084.

Location: 2233 Hamline Ave N, Roseville, MN, 55113-5009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841353596
Provider Name
Roger A Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2233 Hamline Ave N, Roseville, MN, 55113-5009
Phone Number
651-634-4002
Fax Number
651-634-4084
Provider Enumeration Date
12/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28598AN 01 MN BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
2233 Hamline Ave N
City
Roseville
State
Minnesota
Zip
55113-5009
Phone Number
651-634-4002
Fax Number
651-634-4084
person
Provider Business Mailing Address Details
Address
2233 Hamline Ave N
City
Roseville
State
Minnesota
Zip
55113-5009
Phone Number
651-634-4002
Fax Number
651-634-4084
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
017731 (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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