Tahnk-Johnson, Mary

Tahnk-Johnson, Mary is an individual health care provider with primary practice located at 6490 Excelsior Blvd Ste W300, St Louis Park MN 55426-4705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Tahnk-Johnson, Mary can be contacted via phone (952) 993-4705.

Contact Information

Primary practice address
6490 Excelsior Blvd Ste W300 St Louis Park MN 55426-4705
Phone: (952) 993-4705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 32922 Minnesota

Profile Details

NPI number 1548247547
LBN Legal business name Tahnk-Johnson, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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