Johnsen, Gretchen E

Johnsen, Gretchen E is an individual health care provider with primary practice located at 8611 W Point Douglas Rd S , Cottage Grove MN 55016-4005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnsen, Gretchen E can be contacted via phone (651) 458-1884.

Contact Information

Primary practice address
8611 W Point Douglas Rd S Cottage Grove MN 55016-4005
Phone: (651) 458-1884
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30464 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27680-020 Wisconsin

Profile Details

NPI number 1831150648
LBN Legal business name Johnsen, Gretchen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 20th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831150648 NPPES
Minnesota MEDICAID 516890200

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