MR. Tyler K Johnson, PA-C

NPI #1003362914 in Excelsior, Minnesota

Provider Information

NPI Number
1003362914
Entity Type
Individual
Name
MR. Tyler K Johnson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Aug 31, 2016
Last Updated
May 7, 2019

Practice Location

Address
675 WATER ST
ZIP Code
55331-3072
Phone
(952) 906-7855

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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