Emily Lou Johnson, PA-C
NPI #1013309715 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1013309715
- Entity Type
- Individual
- Name
- Emily Lou Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 4, 2015
- Last Updated
- Mar 14, 2023
Practice Location
- Address
- 9630 GROVE CIR N STE 200
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-3492
- Phone
- (763) 520-7870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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