Bryan Mikael Johnson, PA-C

NPI #1477106714 in Fosston, Minnesota

Provider Information

NPI Number
1477106714
Entity Type
Individual
Name
Bryan Mikael Johnson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jul 16, 2019
Last Updated
Oct 20, 2025

Practice Location

Address
111 2ND ST NE
ZIP Code
56542-1301
Phone
(218) 435-1111

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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