IndividualActive
Nathan Johnson, M.D.
NPI 1891089850 · Facial Plastic Surgery Physician · Minneapolis, MN
Provider details
- NPI number
- 1891089850
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 61977 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2211 Park Ave
Minneapolis, MN 55404-3711
Phone: (612) 871-1144
Fax: (612) 871-2012
Approximate (ZIP-level) locationGet directions
Mailing address
2211 Park Ave
Minneapolis, MN 55404-3711
Additional practice locations (1)
- 1237 Delaware AveBuffalo, NY 14209-1435Phone: (716) 362-9585
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.