Individual provider · Type 1 NPI

Tyler K. Johnson, PA-C

Medical Physician Assistant · Excelsior, MN

NPI number 1003362914 Active

Practice location

675 Water St
Excelsior, MN 55331-3072

Call (952) 906-7855 Map

Mailing address

676 N Saint Clair St, Suite 1600
Chicago, IL 60611-2927

Other practice locations

  • 560 S Maple St Ste 400, Waconia, MN 55387-1757 · (952) 442-2191

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085005949 (IL)

Medical Physician Assistant: Definition to come...

18 other providers at this address

About NPI 1003362914

Tyler K. Johnson, PA-C's National Provider Identifier is 1003362914, issued on Aug 31, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Excelsior, MN. The record was last updated on May 7, 2019.