Individual
PAUL L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05F00JO
BLUE CROSS BLUE SHIELD
MN
01
—
123607
UCARE
—
01
—
2000870
MEDICA
—
01
—
967551028364
PREFERRED ONE
—
01
—
HP57496
HEALTH PARTNERS
—
Enumeration date
08/10/2006
Last updated
11/20/2007
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