IndividualActive
Randy Johnson
NPI 1497041065 · Home Modifications Contractor · Sartell, MN
Provider details
- NPI number
- 1497041065
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
824 9th St N
Sartell, MN 56377-2248
Phone: (320) 290-9506
Fax: (866) 392-7760
Approximate (ZIP-level) locationGet directions
Mailing address
824 9th St N
Sartell, MN 56377-2248
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2011-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.