Dr. Jeffrey Earl Johnson, M.D.
Surgery in Rochester, MN. Individual provider (NPI-1).
NPI number1366855751
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1366855751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Earl Johnson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2014
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 69040 | MN | Yes |
| 208600000X | Surgery | A129173 | CA |
Practice location
200 1st St SwRochester, MN 55905-0002
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0002
Phone 507-284-2511
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