Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYLER K JOHNSON, PA-C
ActiveMR. TYLER K JOHNSON, PA-C is a Medical Physician Assistant healthcare provider located in EXCELSIOR, Minnesota. NPI 1003362914 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · EXCELSIOR, MN
Registration Details
- NPI Number
- 1003362914
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2016 (9.9947324130079 yrs)
- Last Updated
- May 7, 2019
- License
-
085005949 (IL)
Practice Information
- Address
-
675 WATER STEXCELSIOR, MN, 553313072Browse MN providers · Browse ZIP 55331
- Phone
- 9529067855
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.