Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK HERBERT JOHNSON, M.D.
Active Sole ProprietorDR. MARK HERBERT JOHNSON, M.D. is a Legal Medicine healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1275612624 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1275612624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.79741925314 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19187 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2104 OLIVER AVE SMINNEAPOLIS, MN, 554052437Browse MN providers · Browse ZIP 55405
- Phone
- 6123776084
- Primary Specialty
-
Legal Medicine
173000000X
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.