Tamara A Johnson, PA-C

NPI #1023206935 in St Louis Park, Minnesota

Provider Information

NPI Number: 1023206935
Entity Type: Individual
Name: Tamara A Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 5, 2007
Last Updated: Oct 5, 2007

Practice Location

Address: 6490 EXCELSIOR BLVD
Address 2: STE W200
City: St Louis Park
State: Minnesota
ZIP Code: 55426-4705
Phone: (952) 993-3180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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