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Mark Johnson, M.D. — NPI 1275612624, Minneapolis, MN | NPI Central

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Mark Johnson, M.D.

NPI 1275612624 · Legal Medicine · Minneapolis, MN

Provider details

NPI number: 1275612624
Entity type: Individual
Primary specialty: Legal MedicineOther Service Providers
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 19187 (MN)

Specialties & taxonomies

Legal MedicinePrimary173000000XLicense 19187 (MN)
Other Service Providers

Practice location

2104 Oliver Ave S

Minneapolis, MN 55405-2437

Phone: (612) 377-6084

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

2104 Oliver Ave S

Minneapolis, MN 55405-2437

Registry dates

Enumerated: 2006-11-06
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.