Provider Demographics
NPI:1861661712
Name:JOHNSON, MARIA RONNINGEN (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:RONNINGEN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 DELAWARE AVE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA DEPARTMENT OF NEUROLOGY
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:516 DELAWARE ST. S.E.
Practice Address - Street 2:12 PHILLIPS WANGENSTEEN BLDG.
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0001
Practice Address - Country:US
Practice Address - Phone:612-625-5859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS