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1922732452
IAN MARK JOHNSON
EDINA, MN
NPI
1922732452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 14703)
Enumeration Date
2022-07-11
Last Update Date
2023-10-25
Business Address
IAN MARK JOHNSON PA-C
7373 FRANCE AVE S STE 408
EDINA, MN 55435-4549
Phone number: 651-430-3800
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Mailing Address
IAN MARK JOHNSON PA-C
1950 NORTHWESTERN AVE S STE 102
STILLWATER, MN 55082-7615
Phone number: 651-430-3800
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