Ian James Johnson
NPI #1952916934 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1952916934
- Entity Type
- Individual
- Name
- Ian James Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 15, 2020
- Last Updated
- Sep 20, 2022
Practice Location
- Address
- 1540 RANDOLPH AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-2535
- Phone
- (651) 699-8333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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