Bruce M Johnson MD

NPI 1023077658 - Internal Medicine - 207R00000X

NPI Details
NPI 1023077658
Gender Male
Enumeration Date 03/22/2006
Last Updated 01/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
205 S WABASHA ST
HEALTHPARTNERS ST. PAUL CLINIC - MAIL STOP 31300A
ST. PAUL MN, 55107-1805, US
Phone (651) 293-8100
Fax (651) 293-8106
Business Location
8170 33RD AVE S
MS21110Q
MINNEAPOLIS MN, 55425-4516, US
Phone (952) 883-5375
Fax (651) 293-8106
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 27883
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According to our database, Bruce M Johnson MD NPI is 1023077658, taxonomy code is 207R00000X and license number is 27883, license state is located at Minnesota. Bruce M Johnson MD physically located at 205 S Wabasha St, St. Paul MN, 55107-1805. NPI Number Bruce M Johnson MD has the Individual type.

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1023077658 NPI number is provided on an as is basis without warranty of any kind. 1023077658 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce M Johnson MD are for informational purposes only.