Bethany Lauren Johnson, PA-C
NPI #1093948085 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1093948085
- Entity Type
- Individual
- Name
- Bethany Lauren Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 25, 2009
- Last Updated
- Sep 12, 2018
Practice Location
- Address
- 909 FULTON ST SE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55455-4800
- Phone
- (612) 672-7422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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