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1275612624
MARK HERBERT JOHNSON
MINNEAPOLIS, MN
NPI
1275612624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
173000000X Legal Medicine
(Licence: MN 19187)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Dr. MARK HERBERT JOHNSON M.D.
2104 OLIVER AVE S
MINNEAPOLIS, MN 55405-2437
Phone number: 612-377-6084
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Mailing Address
Dr. MARK HERBERT JOHNSON M.D.
2104 OLIVER AVE S
MINNEAPOLIS, MN 55405-2437
Phone number: 612-377-6084
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