KATHRYN L JOHNSON

GRAND ITASCA CLINIC AND HOSPITAL

Dr KATHRYN L JOHNSON is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2013 from University Of Minnesota Medical School.

Contact

GRAND ITASCA CLINIC AND HOSPITAL

1601 GOLF COURSE RD
GRAND RAPIDS
MN
557448648

Tel: 2183263401

KATHRYN L JOHNSON Information

Npi 1134562309
Pac Id 4385949726
Professional Enrollment Id I20170713003044
Last Name JOHNSON
First Name KATHRYN
Middle Name L
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 2013
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GRAND ITASCA CLINIC AND HOSPITAL
Group Practice Pac Id 8123939550
Number Of Group Practice Members 74
Line 1 Street Address 1601 GOLF COURSE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRAND RAPIDS
State MN
Zip Code 557448648
Phone Number 2183263401
Hospital Affiliation Ccn 1 240064
Hospital Affiliation Lbn 1 GRAND ITASCA CLINIC AND HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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