Nathan Daniel Johnson
Facial Plastic Surgeon
2211 Park Ave
Minneapolis
, Minnesota 55404-3711
Nathan Daniel Johnson
Facial Plastic Surgeon
2211 Park Ave
Minneapolis
, Minnesota 55404-3711
(612) 871-2012
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Nathan Daniel Johnson
- 2211 Park Ave
- Minneapolis, MN
- Zip : 55404-3711
- Fax : (612) 871-2012
- Phone : (612) 871-1144
Second Address
- Nathan Daniel Johnson
- 2211 Park Ave
- Minneapolis, MN
- Zip : 55404-3711
- Fax : (612) 871-2012
- Phone : (612) 871-1144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 61977 | MN |
National Provider Identifier
| NPI | 1891089850 |
|---|---|
| Provider Name | Nathan Daniel Johnson |
| First Address | Minneapolis, MN 55404-3711 |
| Second Address | Minneapolis, MN 55404-3711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2011 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.