NICHOLAS ROY JOHNSON

MAPLE GROVE, MN
NPI1902534910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14147)
Enumeration Date2022-08-09
Last Update Date2022-10-13
Business Address
NICHOLAS ROY JOHNSON PA-C
14500 99TH AVE N
MAPLE GROVE, MN 55369-4730
Phone number: 763-898-1000
Mailing Address
NICHOLAS ROY JOHNSON PA-C
11111 ANDERSON LAKES PKWY
EDEN PRAIRIE, MN 55344-4145
Phone number: 952-451-3906
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