Keith Johnson, MD
NPI #1013412956 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1013412956
- Entity Type
- Individual
- Name
- Keith Johnson, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Mar 23, 2018
- Last Updated
- Jul 29, 2021
Practice Location
- Address
- 9855 HOSPITAL DR STE 102
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-4648
- Phone
- (763) 581-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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