BLAKE A JOHNSON

ST LOUIS PARK, MN
NPI1811964174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MN  39490)
Enumeration Date2006-03-07
Last Update Date2012-02-17
Business Address
-- BLAKE A JOHNSON MD
5775 WAYZATA BLVD STE 190
ST LOUIS PARK, MN 55416
Phone number: 952-541-1840
Mailing Address
-- BLAKE A JOHNSON MD
PO BOX 1450 NW6035
MINNEAPOLIS, MN 55485-6035
Phone number: 952-542-8553
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