Individual
PAUL L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 345-2623
(507) 389-4685
Mailing address
20201 586TH LN, MANKATO, MN 56001-7893
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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