Individual provider · Type 1 NPI
Amanda Kay Johnson, CSA
Surgical Physician Assistant · Rochester, MN
NPI number
1417288945
Active
Practice location
201 W Center St EI-01 Surgical Assistant
Rochester, MN 55902-3003
Fax (507) 266-1978
Mailing address
114 W. Main St., PO Box 54
Dodge Center, MN 55927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1417288945
Amanda Kay Johnson, CSA's National Provider Identifier is 1417288945, issued on Jan 22, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rochester, MN. The record was last updated on Jan 22, 2010.