Floyd Joseph Johnson III NP

NPI 1033340799 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1033340799
Gender Male
Enumeration Date 07/29/2009
Last Updated 05/04/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
516 DELAWARE ST SE
CLINIC 2A
MINNEAPOLIS MN, 55455-0356, US
Phone (612) 626-6100
Fax
Business Location
516 DELAWARE STREET SE
CLINIC 2A
MINNEAPOLIS MN, 55455, US
Phone (859) 489-8439
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Minnesota
License Number R 192012-1
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According to our database, Floyd Joseph Johnson III NP NPI is 1033340799, taxonomy code is 363LA2100X and license number is R 192012-1, license state is located at Minnesota. Floyd Joseph Johnson III NP physically located at 516 Delaware St Se, Minneapolis MN, 55455-0356. NPI Number Floyd Joseph Johnson III NP has the Individual type.

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1033340799 NPI number is provided on an as is basis without warranty of any kind. 1033340799 is maintained by the National Plan & Provider Enumeration System. The contents of Floyd Joseph Johnson III NP are for informational purposes only.