MR. Ryan Daniel Johnson, OD

NPI #1093948259 in Woodbury, Minnesota

Provider Information

NPI Number: 1093948259
Entity Type: Individual
Name: MR. Ryan Daniel Johnson, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 3, 2009
Last Updated: Sep 3, 2009

Practice Location

Address: 8362 TAMARACK VILLAGE
Address 2: RM 108
City: Woodbury
State: Minnesota
ZIP Code: 55125-3392
Phone: (651) 730-9662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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